PRAIRIE EYE CENTER LTD (NPI# 1376773598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376773598 |
| Entity Type | Organization |
| Organization Name | PRAIRIE EYE CENTER LTD |
| Practice Address |
106 E Main St Beardstown IL 62618-1241 |
| Practice Telephone | 2173231146 |
| Practice Fax Number | 2173231145 |
| Mailing Telephone | 2173231146 |
| Mailing Fax Number | 2173231145 |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-08-27 |
| Authorized Official Name | SANDRA YEH (OWNER/PRESIDENT) |
| Authorized Official Telephone | 2176983030 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | PRAIRIE EYE CENTER LTD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 042000760 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | DEPARTMENT OF FINANICAL AND PROFESSIONAL REGULATION | 042000760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821228040 | Prairie Eye Center Ltd | Optometrist | 130 W Center St, Girard, IL 62640-1222 | 2009-07-22 |
| 1477783694 | Prairie Eye Center Ltd | Optometrist | 200 E Mechanic St, Hillsboro, IL 62049-2007 | 2009-07-22 |
| 1063928588 | Prairie Eye Center Ltd | Optometrist | 700 N Side Sq, Clinton, IL 61727-1657 | 2017-12-20 |
| 1730564261 | Prairie Eye Center Ltd | Ophthalmology | 1230 Centre West Dr, Springfield, IL 62704-2173 | 2015-07-27 |
| Street Address |
106 E MAIN ST |
| City | BEARDSTOWN |
| State | IL |
| Zip Code | 62618-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841778115 | Sara Marie Siebert | Optometrist | 106 E Main St, Beardstown, IL 62618-1241 | 2018-07-30 |
| 1457347346 | Mary Agnes Bigelow | Optometrist | 106 E Main St, Beardstown, IL 62618-1241 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962646042 | Cass County Mental Health | Clinic/Center | 7 Bridgeview, Beardstown, IL 62618 | 2009-04-21 |
| 1750562195 | Pamida Stores Operating Co LLC | Durable Medical Equipment & Medical Supplies | 113 West 3rd St, Beardstown, IL 62618 | 2007-11-14 |
| 1316162993 | John Gauer Merrihew Dmd Ltd | Dentist | 1020 State St, Beardstown, IL 62618 | 2007-04-17 |
| 1942316179 | Cass County Mental Health Assoc | Clinic/Center | 121 E 2nd Street, Beardstown, IL 62618 | 2006-08-21 |
| 1619922143 | Sembu Kanthilal | Family Medicine | 507 Washington St, Beardstown, IL 62618 | 2006-05-23 |
| 1538111638 | Schuyler County Hospital District | Clinic/Center | 8460 St Lukes Dr, Beardstown, IL 62618 | 2006-05-17 |
| 1255795902 | Cass County Mental Health Association | Rehabilitation, Substance Use Disorder Unit | 121 E 2nd St, Beardstown, IL 62618 | 2016-04-08 |
| 1326282401 | Cass County Mental Health | Clinic/Center | 415 Clendenin St, Beardstown, IL 62618 | 2009-04-21 |
| 1801932728 | Diane M Morris | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2007-01-29 |
| 1679002125 | Michala Nicole Swanger | Counselor | 415 Clendenin St, Beardstown, IL 62618-1034 | 2017-06-08 |
| Find all providers in zip 62618 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841778115 | Sara Marie Siebert | Optometrist | 106 E Main St, Beardstown, IL 62618-1241 | 2018-07-30 |
| 1457347346 | Mary Agnes Bigelow | Optometrist | 106 E Main St, Beardstown, IL 62618-1241 | 2005-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437750247 | Saida Samedova | Optometrist | 5255 Il-251, Peru, IL 61354 | 2020-11-06 |
| 1124627880 | Biren Patel | Optometrist | 1330 N Larkin Ave, Joliet, IL 60435-3765 | 2020-10-22 |
| 1790392587 | Adriana Casillas | Optometrist | 11129 S Avenue J, Chicago, IL 60617-6910 | 2020-09-25 |
| 1033725114 | Sabrina D'haiti | Optometrist | 607 Oakton St, Evanston, IL 60202-5615 | 2020-09-23 |
| 1164037495 | Brett David Freitag | Optometrist | 5006 Northwest Hwy, Crystal Lake, IL 60014-7339 | 2020-09-14 |
| 1164036786 | Deeti Patel | Optometrist | 9053 Hollyberry Ave, Des Plaines, IL 60016-4216 | 2020-09-01 |
| 1497368252 | Gca Optical LLC | Optometrist | 1520 N Rock Run Dr Ste 2, Crest Hill, IL 60403-3172 | 2020-08-30 |
| 1538778097 | Opt Vision | Optometrist | 5371 W Lawrence Ave Ste A, Chicago, IL 60630-3695 | 2020-07-30 |
| 1578180147 | Ortizii PC | Optometrist | 111 N Wabash Ave Ste 1111, Chicago, IL 60602-3119 | 2020-06-30 |
| 1053938092 | Premier Vision Center LLC | Optometrist | 2809 Mansion Rd Ste A, Springfield, IL 62711-6811 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | BEARDSTOWN |
| Zip Code | 62618 |
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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.