| Shah Vision Consultants Inc | |
|
575 S Perryville Rd, Rockford, IL 61108-2530 | |
| (815) 315-9358 | |
| (815) 315-9358 |
| Full Name | Shah Vision Consultants Inc |
|---|---|
| Type | Facility |
| Speciality | Optometrist |
| Location | 575 S Perryville Rd, Rockford, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003119694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 152W00000X | Optometrist | 046009516 (Illinois) | Primary |
| Provider Name | Constance Copeland |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1508857202 PECOS PAC ID: 6002823564 Enrollment ID: I20060308000875 |
| Provider Name | Prayag D Shah |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1720072184 PECOS PAC ID: 2961309851 Enrollment ID: I20141118001020 |
| Provider Name | Chad R Slagle |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1093157992 PECOS PAC ID: 2567786650 Enrollment ID: I20150120001976 |
| Mailing Address | Practice Location Address |
|---|---|
| Shah Vision Consultants Inc 575 S Perryville Rd, Rockford, IL 61108-2530 Ph: (815) 315-9358 | Shah Vision Consultants Inc 575 S Perryville Rd, Rockford, IL 61108-2530 Ph: (815) 315-9358 |
Dr. Anna Katrina Pamula, OD Optometrist Medicare: Medicare Enrolled Practice Location: 1603 N Alpine Rd Ste 121, Rockford, IL 61107 Phone: 815-397-5959 | |
Dr. Charvi D. Patel, OD Optometrist Medicare: Not Enrolled in Medicare Practice Location: 1603 N Alpine Rd, Suite 121, Rockford, IL 61107 Phone: 815-397-5959 | |
Dr. Vincent R Facchiano, OD Optometrist Medicare: May Accept Medicare Assignments Practice Location: E265 Cherryvale Mall, Rockford, IL 61112 Phone: 815-332-2223 Fax: 815-332-4488 | |
Center For Sight & Hearing Optometrist Medicare: Medicare Enrolled Practice Location: 8038 Macintosh Ln, Rockford, IL 61107 Phone: 815-332-6800 Fax: 815-332-6810 | |
Pearson Vision Care, Sc Optometrist Medicare: Not Enrolled in Medicare Practice Location: 6560 E State St, Rockford, IL 61108 Phone: 815-218-6210 Fax: 815-227-1986 | |
Judy Chanthalangsy, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 6560 E State St, Rockford, IL 61108 Phone: 815-997-0164 |