Rose Optical, Inc.

Optometrist · Godfrey, IL

Organization Active NPI

NPI number 1669444063

Practice location

3300 Godfrey Rd
Godfrey, IL 62035-2558
Phone
(618) 466-8787
Fax
(618) 466-4703

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NPI record

NPI
1669444063
Entity type
Organization (Type 2)
Enumeration date
February 2, 2006
Last updated
August 29, 2011
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Optometrist Primary 152W00000X 22652655 IL

Mailing address

PO Box 5040
Godfrey, IL 62035-5040
Phone
(618) 466-8787
Fax
(618) 466-4703

Authorized official

Name
Mrs. Marie Annette Mangrum
Title
Board Secretary/Treas.
Phone
(618) 466-8787

About Rose Optical, Inc.

Rose Optical, Inc. is a healthcare organization registered in the NPI registry with the primary taxonomy Optometrist (code 152W00000X). The practice location is 3300 Godfrey Rd, Godfrey, IL 62035-2558. The NPI number 1669444063 was assigned on February 2, 2006 and the record was last updated on August 29, 2011.

Rose Optical, Inc. lists a license in the registry: #22652655 (IL) for Optometrist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Mrs. Marie Annette Mangrum, Board Secretary/Treas..

Frequently asked questions

What is the NPI number of Rose Optical, Inc.?

The NPI number is 1669444063.

What is the phone number of Rose Optical, Inc.?

The phone number listed for the practice location is (618) 466-8787.

Where is Rose Optical, Inc. located?

3300 Godfrey Rd, Godfrey, IL 62035-2558.

What is the taxonomy code for Rose Optical, Inc.?

The primary taxonomy code is 152W00000X – Optometrist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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