SearchIllinois156FX1800X

Jose Nieves, OPTICAL

NPI 1639391832 · on the registry since 2007 · sole proprietor

Practice

Address
4010 E State St Ste 103
Rockford, IL 61108
Phone
(815) 397-5940
Fax
(815) 397-5947
Clinicians at this address
2

Registry record

Primary taxonomy
156FX1800X
156FX1800X
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