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NPI Code Detail

MEDICARE: VITS VISION CARE LLC

MEDICARE: VITS VISION CARE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1152W00000XOptometristIL

General Provider Information

NPI Number : 1811429954
Entity Type Code : Organization
Provider Name (Legal Business Name) : VITS VISION CARE LLC
Provider Business Mailing Address
First Line : 723 W ROUTE 30
Second Line :
City : ROCK FALLS
State : IL
Zip : 61071-2828
Country : US
Telephone Number : 815-625-6195
Fax Number : 815-625-5301
Provider Business Practice Location Address
First Line : 723 W ROUTE 30
Second Line :
City : ROCK FALLS
State : IL
Zip : 61071-2828
Country : US
Telephone Number : 815-625-6195
Fax Number : 815-625-5301
Authorized Official
Title or Position : OWNER
Name : DR. DARRIN G VITS
Credential : O.D.
Telephone Number : 815-625-6195
Provider Enumeration Date : 03/29/2017
Last Update Date : 03/29/2017

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Directions to “VITS VISION CARE LLC ” Practice Location

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