EYE SPECIALIST OF ROCKFORD
NPI 1407281009
Eyewear Supplier in Rockford, IL

Active since September 13, 2013CLIA 14D2086899 · Waiver
3865 N MULFORD RD, ROCKFORD, IL 61114(815) 399-2190(815) 399-5543 Get Directions Write a Review

NPPES record last updated: September 13, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eye Specialist Of Rockford NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EYE SPECIALIST OF ROCKFORD (NPI 1407281009) is a healthcare organization registered as an eyewear supplier in Rockford, Illinois and active in the NPI registry since September 2013. The organization holds a CLIA Waiver certificate valid through November 13, 2026 and lists Masud I Malik, Physician And Owner, as its authorized official.

NPPES Registry Identity

NPI1407281009
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameMALIK EYE INSTITUTE LLC
Location Address3865 N MULFORD RDRockford, IL 61114-5603
Mailing Address3865 N Mulford RdRockford, IL 61114-5603 · (815) 399-2190 · Fax (815) 399-5543
Fax(815) 399-5543
Organization SubpartNo
Authorized OfficialMasud I MalikPhysician And Owner · (815) 399-2190
Enumeration DateSeptember 13, 2013
NPI 1407281009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
License Licensed in IL · 036-110588
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
3865 N MULFORD RD, Rockford, IL 61114

Other Names 1

Doing Business AsEye Specialist Of Rockford

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2086899

Malik Eye Institute LLC · Rockford, IL
Active · expires Nov 13, 2026
CLIA Number14D2086899
Laboratory TypePhysician Office
Certificate Effective DateNovember 14, 2024
Certificate Expiration DateNovember 13, 2026
Laboratory DirectorMasud Malik
Laboratory Phone(815) 399-2190
Laboratory LocationMalik Eye Institute LLC3865 N Mulford Rd, Rockford, IL 61114
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Ophthalmology
3865 N MULFORD RD
ROCKFORD, IL 61114
Optometrist
3865 N MULFORD RD
ROCKFORD, IL 61114
Ophthalmology
3865 N MULFORD RD
ROCKFORD, IL 61114

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malik Eye Institute LLC's NPI number?

The NPI number for Malik Eye Institute LLC is 1407281009. It was assigned to this organization in the NPPES registry on September 13, 2013. The provider is doing business as Eye Specialist Of Rockford.

Where is Malik Eye Institute LLC located?

Malik Eye Institute LLC is located at 3865 N Mulford Rd, Rockford, IL 61114. The listed phone number is (815) 399-2190.

What is Malik Eye Institute LLC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Malik Eye Institute LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2086899) is associated with this NPI, valid through November 13, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Malik Eye Institute LLC was last updated on September 13, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.