SearchIllinoisOptometrist

Thomas Bialecke, OD

NPI 1164539821 · on the registry since 2006

Practice

Address
1350 N Galena Ave
Dixon, IL 61021
Phone
(815) 284-3935
Fax
(815) 284-6094
Organisation at this address
Shopko Stores Operating Co Llc
Shopko Stores Operating Co. Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
Optometrist
152W00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois