NPI 1114580917

Vep Il Optometric LLC

Organisation Optometrist Rockford, IL

Practice location

Address: 6430 E State St STE 102, Rockford, IL 61108-2529
Phone: (815) 708-8561
Mailing address: PO Box 800148, Kansas City, MO 64180-0148

Authorised official

Name: Eric Birky
Title: President
Phone: (309) 663-2700

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X

Other Optometrist providers in Illinois →

Registry record

NPI: 1114580917
Entity type: Organization
NPI issued: 17 Apr 2019
Record last updated: 29 Jul 2024

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.