Rock, Becky
Rock, Becky is an individual health care provider with primary practice located at 12603 Illinois Highway 143 , Highland IL 62249-1194. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Rock, Becky can be contacted via phone (618) 882-4262.Contact Information
Primary practice address
12603 Illinois Highway 143
Highland IL 62249-1194
Phone: (618) 882-4262
Fax: (618) 882-4263
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Eye and Vision Services Providers / Optometrist | 152W00000X | 2004018250 | Missouri |
Eye and Vision Services Providers / Optometrist | 152W00000X | 046009698 | Illinois |
Profile Details
NPI number | 1134289739 |
---|---|
LBN Legal business name | Rock, Becky |
Credentials | Doctor of Optometry (OD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 12th, 2006 |
Last updated | Oct 2nd, 2014 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134289739 | NPPES |
Illinois | MEDICAID | 046009698 | |
Illinois | MEDICAID | 318392024 |
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