NPI 1003250432

Vision Center of Loves Park, INC.

Organisation Optometrist Loves Park, IL

Practice location

Address: 5020 N 2nd St, Loves Park, IL 61111-5809
Phone: (815) 282-3468

Authorised official

Name: Richard Newcomb
Title: Optometrist
Phone: (815) 282-3468

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence 046.007735 (IL)

Other Optometrist providers in Illinois →

Registry record

NPI: 1003250432
Entity type: Organization
NPI issued: 29 Apr 2013
Record last updated: 20 Aug 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.