Northern Illinois Optical Co., Inc.
LBN: Northern Illinois Optical Co., Inc.
Northern Illinois Optical Co., Inc. is an health care organization with primary practice located at 121 N Madison St , Rockford IL 61107-3949. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optician, Suppliers / Customized Equipment. Eye and Vision Services Providers / Optician is the primary health care specialty.
Northern Illinois Optical Co., Inc. can be contacted via phone (815) 963-3454, or through De Rosso, Sheri M via phone (815) 963-3454.
Contact Information
Primary practice address
121 N Madison St
Rockford IL 61107-3949
Phone: (815) 963-3454
Fax: (815) 963-4384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optician | 156FX1800X | ||
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1639252273 |
|---|---|
| LBN Legal business name | Northern Illinois Optical Co., Inc. |
| DBA Doing business as | |
| Authorized official | De Rosso, Sheri M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 24th, 2006 |
| Last updated | Apr 25th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639252273 | NPPES |
| Illinois | Other | 10115103 | BCBS |
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