Mr. Jose L Nieves, OPTICAL
Mr. Jose L Nieves, OPTICAL is an Optician in Rockford, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.
- In the registry since
- 2007
Practice location Address checks out
4010 E State St Ste 103Rockford, IL 61108-2044
Phone: (815) 397-5940
Fax: (815) 397-5947
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Specialties & licences
| Optician (primary) | Taxonomy 156FX1800X · Licence 156FX1800X |
|---|
Record details
| NPI number | 1639391832 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | OPTICAL |
| Sole proprietor | Yes |
| NPI enumerated | May 3, 2007 |
| Last updated in NPPES | July 8, 2007 |
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