Primary Eye Care Centers, PC
Optometrist in Rockford, IL. Organization (NPI-2).
NPI number1083661029
StatusActive
Last updated in NPPESJun 19, 2013
Details
- NPI
- 1083661029
- Entity type
- Organization (NPI-2)
- Legal business name
- Primary Eye Care Centers, PC
- Organization subpart
- No
- Enumeration date
- May 27, 2006
- Last updated
- Jun 19, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
1603 N Alpine RdSt 121
Rockford, IL 61107-1439
Phone 815-209-9420
Mailing address
1603 N Alpine RdSt 121
Rockford, IL 61107-1439
Phone 815-209-9420
Authorized official
William C Hillmann
President
8152099420
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