Northern Illinois Optical Co., Inc.
Optician
121 N Madison St, Rockford
Illinois, 61107-3949
815-963-3454 815-963-4384
Northern Illinois Optical Co., Inc. is a Optician in Rockford, Illinois. It is located at 121 N Madison St, Rockford and it's customer support contact number is 815-963-3454. The authorized person of Northern Illinois Optical Co., Inc. is Sheri M De Rosso who is Owner of this DME and his contact number is 815-963-3454. Northern Illinois Optical Co., Inc. accepts medicare which means medicare covered patients will not be billed for any more than the Medicare deductible and coinsurance.
Northern Illinois Optical Co., Inc. is a medical supplier who supplies medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
DME Supplier Details:
Northern Illinois Optical Co., Inc. type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Northern Illinois Optical Co., Inc. |
| Type: | Optician |
| Location: | 121 N Madison St, Rockford,
Illinois, 61107-3949 |
| Phone: | 815-963-3454 |
| Fax: | 815-963-4384 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Sheri M De Rosso |
| Position: | Owner |
| Contact Number: | 815-963-3454 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1639252273 |
| NPI Enumeration Date: | 24 Oct, 2006 |
| NPI Last Update On: | 07 Nov, 2024 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Northern Illinois Optical Co., Inc. are as mentioned below.
| Specialization | License Number | State | Status | |
| Optician | | | Primary | |
| Customized Equipment | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 10115103 | Other | Illinois | Bcbs |
Medicare Enrollment:
Northern Illinois Optical Co., Inc. is enrolled in medicare and it's Pac Id, enrollment Id, registered name and type is as stated below.
| PAC ID: |
Enrollment ID: |
Org Name | Medicare Entity Type |
| 0941381537 | O20080122000304 | Northern Illinois Optical Co., Inc. | PART B SUPPLIER - CLINIC/GROUP PRACTICE |
| 0941381537 | O20110428000700 | Northern Illinois Optical Co., Inc. | DME SUPPLIER - OPTICIAN |
Products Available:
Northern Illinois Optical Co., Inc. has following products available for sale under medicare.
| Products: |
|---|
| • Prosthetic Lenses: Conventional Eyeglasses | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 121 N Madison St,
Rockford, Illinois |
| Zip: | 61107-3949 |
| Phone Number: | 815-963-3454 |
| Fax Number: | 815-963-4384 |
Patients can reach Northern Illinois Optical Co., Inc. at
121 N Madison St, Rockford, Illinois or can
call on customer care at 815-963-3454.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.