MALIK EYE INSTITUTE LLC (NPI# 1407281009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407281009 |
| Entity Type | Organization |
| Organization Name | MALIK EYE INSTITUTE LLC |
| Other Organization Name | EYE SPECIALIST OF ROCKFORD |
| Practice Address |
3865 N Mulford Rd Rockford IL 61114-5603 |
| Practice Telephone | 8153992190 |
| Practice Fax Number | 8153995543 |
| Mailing Telephone | 8153992190 |
| Mailing Fax Number | 8153995543 |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2013-09-13 |
| Authorized Official Name | DR. MASUD I MALIK (PHYSICIAN AND OWNER) |
| Authorized Official Telephone | 8153992190 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332H00000X | Eyewear Supplier (Equipment, not the service) | 036-110588 | IL | Suppliers |
| Other Name | Type Code |
|---|---|
| Eye Specialist of Rockford | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538404827 | Malik Eye Institute LLC | Ophthalmology | 4857 Manhattan Dr, Rockford, IL 61108-2265 | 2012-11-28 |
| 1447595780 | Malik Eye Institute LLC | Eyewear Supplier (Equipment, not the service) | 4857 Manhattan Dr, Rockford, IL 61108-2265 | 2012-11-27 |
| Street Address |
3865 N MULFORD RD |
| City | ROCKFORD |
| State | IL |
| Zip Code | 61114-5603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871559336 | David I Turok | Ophthalmology | 3865 N Mulford Rd, Rockford, IL 61114-5603 | 2006-04-25 |
| 1386975712 | Hugo R Steinitz | Ophthalmology | 3865 N Mulford Rd, Rockford, IL 61114-5603 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366064560 | Caleb Ifeoluwa Oluwadamisi | Student in an Organized Health Care Education/Training Program | Mercy Health Javon Bea Hospital, 8201 East Riverside Boulevard, Rockford, IL 61114 | 2020-05-11 |
| 1811525959 | Seifeldin Eid | Student in an Organized Health Care Education/Training Program | Mercyhealthjavon Bea Hospital, 8201, East Riversideboulevard, IL 61114 | 2020-04-01 |
| 1073167664 | Swedishamerican Hospital | Internal Medicine | 3505 N Bell School Road, Rockford, IL 61114 | 2019-07-31 |
| 1154980076 | Anurag Gill | Student in an Organized Health Care Education/Training Program | 8201 East Riverside Boulevard, Mercy Health Javon Bea Hospital, Rockford, IL 61114 | 2019-06-13 |
| 1578121943 | Sona Najafi | Student in an Organized Health Care Education/Training Program | Mercyhealth Javon Bea Hospital, 8201 East Riverside Blvd, Rockford, IL 61114 | 2019-05-31 |
| 1760045744 | Julianna Jones | Counselor | 6653 Weaver Rd Ste 115, Rockford, IL 61114 | 2019-04-16 |
| 1952869943 | Angela Marie Hawkins | Nurse Practitioner | 8201 E. Riverside Blvd, Pediatric Neurology, Rockford, IL 61114 | 2019-03-08 |
| 1376029231 | Meghan Beth Teske | Chiropractor | 3779 N. Alpine Rd., Rockfod, IL 61114 | 2018-07-13 |
| 1811401284 | Summit Radiology, LLC | Clinic/Center | 3849 N. Perryville Road, Rockford, IL 61114 | 2017-11-21 |
| 1548704299 | Rockford Orthopedic Associates, Ltd | Durable Medical Equipment & Medical Supplies | 5929 E Riverside Blvd, Rockford, IL 61114 | 2016-12-15 |
| Find all providers in zip 61114 | ||||
| Taxonomy Code | 332H00000X |
| Grouping | Suppliers |
| Classification | Eyewear Supplier (Equipment, not the service) |
| An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801346853 | Hw Holdings | Eyewear Supplier (Equipment, not the service) | 6430 E State St Ste 102, Rockford, IL 61108-2529 | 2016-10-13 |
| 1417003138 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5466 East State Street, Rockford, IL 61108 | 2007-01-26 |
| 1255488813 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 6055 E State St, Rockford, IL 61108-2512 | 2007-01-05 |
| 1972663078 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 7200 Harrison Ave Unit E265, Rockford, IL 61112-1017 | 2006-12-11 |
| 1447658364 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 575 S Perryville Rd, Suite 119, Rockford, IL 61108-2530 | 2014-12-09 |
| 1780093716 | Grand Rapids Opticians LLC | Eyewear Supplier (Equipment, not the service) | 6050 Northland Dr Ne, Ste 100, Rockford, MI 49341-9244 | 2014-08-04 |
| 1952726051 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 7200 Harrison Ave, Ste F 35, Rockford, IL 61112-1017 | 2014-02-26 |
| 1447595780 | Malik Eye Institute LLC | Eyewear Supplier (Equipment, not the service) | 4857 Manhattan Dr, Rockford, IL 61108-2265 | 2012-11-27 |
| 1689903510 | Pearle Vision Inc | Eyewear Supplier (Equipment, not the service) | 7200 Harrison Ave, Cherryvale Mall, Rockford, IL 61112-1017 | 2009-12-24 |
| 1518105121 | Imler Vision Centers, LLC | Eyewear Supplier (Equipment, not the service) | 4857 Manhattan Dr, Rockford, IL 61108-2265 | 2009-02-04 |
| Find all providers in ROCKFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.