Ekta K Patel, OD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1255176137
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046011850 (IL)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2024-07-01
- Last updated
- 2024-07-01
Practice location
7151 Walton St
Rockford, IL 61108-2600
(815) 397-4704