Mlsna Family Eye Care SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

047.933091 Issued in IL

Legal business name

MLSNA FAMILY EYE CARE SC

Doing business as

Rochelle Eye Care Center

Practice address

719 Lincoln Ave
Rochelle, IL 61068-1867

Phone

(815) 562-6175

Fax

(815) 562-5037

NPI assigned

Jul 2, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Reid E Mlsna, O.D.NPI 1174694343

Title

Owner

Phone

(815) 562-6175

Specialties & licenses 1

Addresses

Other names 1

• Rochelle Eye Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Reid E Mlsna, OD

  • Optometrist
  • Rochelle, IL
  • NPI 1174694343
  Medicare reassignment Care Compare group Authorized official
• Ross W Mlsna, O.D.

  • Optometrist
  • Yorkville, IL
  • NPI 1457428542
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190160000000",
    "number": "1760689814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "719 LINCOLN AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681867",
            "telephone_number": "815-562-6175",
            "fax_number": "815-562-5037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 LINCOLN AVE",
            "city": "ROCHELLE",
            "state": "IL",
            "postal_code": "610681867",
            "telephone_number": "815-562-6175",
            "fax_number": "815-562-5037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MLSNA FAMILY EYE CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-02",
        "last_updated": "2007-09-19",
        "status": "A",
        "authorized_official_last_name": "MLSNA",
        "authorized_official_first_name": "REID",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-562-6175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "047.933091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rochelle Eye Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kourtnee Jo Mezo
• Michael J. Monfils, M.D., L.L.C.
• Midwest Physical Therapy
• Payton Mifflin
• Seyed Hamed Mirzamani, DMD
• Reid E Mlsna, OD
• Michael J. Monfils, M.D.
• Christopher Howard Mrofcza
• Rebecca Munson
• Brandi Lynne Myelle, COTA/L

• Optometrist in Rochelle, IL
• Providers in Rochelle, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.