GAILEY EYE CLINIC, LTD (NPI# 1033353644) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033353644 |
| Entity Type | Organization |
| Organization Name | GAILEY EYE CLINIC, LTD |
| Practice Address |
2435 Village Green Pl Champaign IL 61822-7676 |
| Practice Telephone | 2173981700 |
| Practice Fax Number | 2173983700 |
| Mailing Telephone | 2173981700 |
| Mailing Fax Number | 2173983700 |
| Enumeration Date | 2009-04-27 |
| Last Update Date | 2009-12-31 |
| Authorized Official Name | REBECCA COX (ADMINISTRATIVE ASSISTANT) |
| Authorized Official Telephone | 3098295311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 156FX1100X |
Technician/Technologist Specialization: Ophthalmic |
Eye and Vision Services Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083819718 | Gailey Eye Clinic, Ltd | Technician/Technologist | 47 E Liberty Ln, Danville, IL 61832-1440 | 2007-06-21 |
| 1184829814 | Gailey Eye Clinic, Ltd | Technician/Technologist | 322 W Marion Ave, Forsyth, IL 62535-1064 | 2007-06-21 |
| 1275738908 | Gailey Eye Clinic, Ltd | Technician/Technologist | 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-06-21 |
| 1487859401 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2121 Marquette Rd, Peru, IL 61354-1588 | 2007-06-19 |
| 1588831614 | Gailey Eye Clinic, Ltd | Technician/Technologist | 5220 S 6th Street Rd, Suite 2300, Springfield, IL 62703-5735 | 2008-05-08 |
| 1437355419 | Gailey Eye Clinic, Ltd | Technician/Technologist | 123 N 8th St, Watseka, IL 60970-1443 | 2007-06-26 |
| 1932156445 | Gailey Eye Clinic, Ltd | Technician/Technologist | 1008 N Main St, Bloomington, IL 61701-1784 | 2006-05-28 |
| Street Address |
2435 VILLAGE GREEN PL |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61822-7676 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306134317 | Kristen Nicole Clark | Optometrist | 2435 Village Green Pl, Champaign, IL 61822-7676 | 2011-07-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083180830 | Osf Multi-specialty Group | Non-Pharmacy Dispensing Site | 2718 N Prospect Avenue, Champaign, IL 61822 | 2018-10-19 |
| 1487129730 | Siegfred T. Celis | Occupational Therapy Assistant | 1820 Oak Park Drive, Champaign, IL 61822 | 2018-10-12 |
| 1134633746 | Osf Healthcare System | Home Health | 1501 Interstate Dr Ste C, Champaign, IL 61822 | 2017-11-20 |
| 1386164200 | Carlo Sandico | Physical Therapist | 612 Corey Lane, Champagne, IL 61822 | 2017-06-21 |
| 1295270288 | Jennifer Lee Lugo | Registered Nurse | 3101 Fields South Dr., Champaign, IL 61822 | 2016-12-29 |
| 1902341209 | Jala Simmons | Behavioral Analyst | 4112 Fieldstone Rd, Suite B, Champaign, IL 61822 | 2016-12-22 |
| 1639552433 | Muhammad Ajmal | Internal Medicine | 1701 Curtis Road, Carle Clinic, Champaign, IL 61822 | 2015-06-30 |
| 1518363761 | Margaret A. Hallden | Hearing Instrument Specialist | 3354 Big Pine Trail #c, Audibel Hearing Aids, Champaign, IL 61822 | 2014-11-17 |
| 1801291638 | Kristen Karlsen | Pharmacist | 3114 Village Office Place, Champaign, IL 61822 | 2014-10-22 |
| 1649601543 | Jeff Chu | Optometrist | 507 W. Town Center Blvd, Champaign, IL 61822 | 2013-12-03 |
| Find all providers in zip 61822 | ||||
| Taxonomy Code | 156FX1100X |
| Grouping | Eye and Vision Services Providers |
| Classification | Technician/Technologist |
| Specialization | Ophthalmic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760979736 | Emerging Vision Inc | Technician/Technologist | 520 N. Michigan Ave, The Shops North Bridge, Ste 124, Chicago, IL 60611 | 2018-04-16 |
| 1083819718 | Gailey Eye Clinic, Ltd | Technician/Technologist | 47 E Liberty Ln, Danville, IL 61832-1440 | 2007-06-21 |
| 1184829814 | Gailey Eye Clinic, Ltd | Technician/Technologist | 322 W Marion Ave, Forsyth, IL 62535-1064 | 2007-06-21 |
| 1275738908 | Gailey Eye Clinic, Ltd | Technician/Technologist | 4927 N Glen Park Place Rd, Peoria, IL 61614-4676 | 2007-06-21 |
| 1487859401 | Gailey Eye Clinic, Ltd | Technician/Technologist | 2121 Marquette Rd, Peru, IL 61354-1588 | 2007-06-19 |
| 1467582460 | Robert S. Baller, Md,pc | Technician/Technologist | 210 1-2 N Williamsburg Drive, Bloomington, IL 61704 | 2007-03-07 |
| 1285794362 | Tatjana K Pavlovic | Technician/Technologist | 2719 W Peterson Ave, Chicago, IL 60659-3919 | 2006-12-11 |
| 1861509051 | Joseph E Frydman, Md,sc | Technician/Technologist | 2634 Grand Ave Ste 201, Waukegan, IL 60085-2460 | 2006-08-24 |
| 1013961044 | Arbor Centers for Eye Care | Technician/Technologist | 11600 South Kedzie Ave, Merrionette Park, IL 60803 | 2006-05-22 |
| 1538799895 | Kortney Kathleen Marszalek | Technician/Technologist | 9645 Lincolnway Ln, Frankfort, IL 60423-1866 | 2020-01-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.