Praksha Butala, OD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1447873260
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 27OA00726600 (NJ)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2020-05-27
- Last updated
- 2026-06-23
Practice location
7200 Harrison Ave Unit F35
Rockford, IL 61112-3014
(815) 332-1855