Janice Petersen Easty, O.D. Valid NPI
Individual provider · Optometrist · Rockford, IL
- NPI
- 1942321252
- Type
- Individual (Type 1)
- Primary specialty
- Optometrist
- Specialty group
- Eye and Vision Services Providers
- Taxonomy code
- 152W00000X
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-04-03
- Last updated
- 2007-07-08
Practice location
7200 Harrison Ave, F35
Rockford, IL 61112-1017
(815) 332-8228