Prayag D Shah, OD Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1720072184
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- License number
- 046009516 (IL)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2005-08-31
- Last updated
- 2026-01-26
Practice location
575 S Perryville Rd Ste 119
Rockford, IL 61108-2530
(847) 571-0402