Mariah Irene Harvey O.D.

NPI 1487818100 - Optometrist - 152W00000X

NPI Details
NPI 1487818100
Gender Female
Enumeration Date 07/11/2008
Last Updated 07/11/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
6055 E STATE ST
SUITE D01A
ROCKFORD IL, 61108-2512, US
Phone (815) 394-7412
Fax
Business Location
6055 E STATE ST
SUITE D01A
ROCKFORD IL, 61108-2512, US
Phone (815) 394-7412
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Illinois
License Number 046.010063
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According to our database, Dr. Mariah Irene Harvey O.D. NPI is 1487818100, taxonomy code is 152W00000X and license number is 046.010063, license state is located at Illinois. Mariah Irene Harvey O.D. physically located at 6055 E State St, Rockford IL, 61108-2512. NPI Number Mariah Irene Harvey O.D. has the Individual type.

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1487818100 NPI number is provided on an as is basis without warranty of any kind. 1487818100 is maintained by the National Plan & Provider Enumeration System. The contents of Mariah Irene Harvey O.D. are for informational purposes only.