Jaime Lynne King, O.D. Valid NPI

Individual provider · Optometrist · Rockford, IL

NPI

1225131428

Type

Individual (Type 1)

Primary specialty

Optometrist

Specialty group

Eye and Vision Services Providers

Taxonomy code

152W00000X

License number

046009892 (IL)

Sex

Female

Sole proprietor

Yes

Enumerated

2006-09-06

Last updated

2019-07-10