ILLINI EYECARE MONTICELLO INC (NPI# 1568656023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568656023 |
| Entity Type | Organization |
| Organization Name | ILLINI EYECARE MONTICELLO INC |
| Practice Address |
102 S Charter St Monticello IL 61856-1853 |
| Practice Telephone | 2177622551 |
| Mailing Telephone | 2177622551 |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2009-10-15 |
| Authorized Official Name | MR. SHIRLEY ANN FISHER (OFFICE MANAGER) |
| Authorized Official Telephone | 2177622551 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152WP0200X |
Optometrist Specialization: Pediatrics |
046007835 | IL | Eye and Vision Services Providers |
| Y | 152WX0102X |
Optometrist Specialization: Occupational Vision |
046007835 | IL | Eye and Vision Services Providers |
| Street Address |
102 S CHARTER ST |
| City | MONTICELLO |
| State | IL |
| Zip Code | 61856-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538565783 | Jeffrey D. Hanley | Hearing Instrument Specialist | 107 S. State Street, Audibel Hearing Aids, Monticello, IL 61856 | 2014-11-17 |
| 1073636510 | John Paul Rupkey | Pharmacist | 1212 Bear Lane, Monticello, IL 61856 | 2007-04-09 |
| 1104959998 | Pediatric Physical Therapy of Central Illinois Ltd | Physical Therapist | 123 W William Street, Monticello, IL 61856 | 2007-03-13 |
| 1184774820 | Curtis E Johnson | Optometrist | 102 S Charter, Monticello, IL 61856 | 2007-01-12 |
| 1639186315 | Bruce Charles Wintersteen | Dentist | 112 E Wash St, Monticello, IL 61856 | 2006-08-02 |
| 1043251846 | Lauren A Coovert | Physician Assistant | 1000 Medical Center Drive, Monticello, IL 61856 | 2006-06-10 |
| 1922389089 | Anne Katherine Marshall | Physician Assistant | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-09-02 |
| 1790089548 | Kristine R Donaldson | Social Worker | 1000 Medical Center Dr, Monticello, IL 61856 | 2011-01-07 |
| 1295814556 | Piatt Co | Skilled Nursing Facility | 1111 N State St, Monticello, IL 61856 | 2006-11-06 |
| 1811954878 | Brian C Yocks | Family Medicine | 1000 Medical Center Dr, Monticello, IL 61856 | 2006-04-26 |
| Find all providers in zip 61856 | ||||
| Taxonomy Code | 152WX0102X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Specialization | Occupational Vision |
| Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health. |
| Notes: Source: American Optometric Association [1/1/2009: added definition, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285097089 | Chris Schmidt | Optometrist | 4809 Promontory Ln, Johnsburg, IL 60051-7672 | 2016-03-30 |
| 1497959795 | Family Eye Care of Bolingbrook Ltd | Optometrist | 310 S Weber Rd, Bolingbrook, IL 60490-5500 | 2007-06-12 |
| 1891775144 | Irve Denenberg | Optometrist | 1020 11th Ave, Great Lakes, IL 60088-3102 | 2006-01-20 |
| City | MONTICELLO |
| Zip Code | 61856 |
Please comment or provide details below to improve the information on ILLINI EYECARE MONTICELLO INC.
| 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.