Malik Eye Institute Llc

LBN: Malik Eye Institute Llc
Malik Eye Institute Llc is an health care organization with primary practice located at 4857 Manhattan Dr , Rockford IL 61108-2265. The organization recently has only one registered license in Suppliers / Eyewear Supplier (Equipment, not the service), which is considered as the primary health care specialty. Malik Eye Institute Llc can be contacted via phone (815) 399-0599, or through Bergman, Ranae D via phone (815) 399-2190.

Contact Information

Primary practice address
4857 Manhattan Dr Rockford IL 61108-2265
Phone: (815) 399-0599
Fax: (815) 399-5543
Website:
Map and Directions
Authorized official contact:
Name: Bergman, Ranae D
Phone: (815) 399-2190

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Eyewear Supplier (Equipment, not the service) 332H00000X 036-110588 Illinois

Profile Details

NPI number 1447595780
LBN Legal business name Malik Eye Institute Llc
DBA Doing business as
Authorized official Bergman, Ranae D
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2012
Last updated Sep 6th, 2013 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447595780 NPPES
Illinois Other 6725940001 PTAN

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