BROADWAY VISION CENTER (NPI# 1629256730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629256730 |
| Entity Type | Organization |
| Organization Name | BROADWAY VISION CENTER |
| Practice Address |
926 Broadway St Quincy IL 62301-2730 |
| Practice Telephone | 2172226888 |
| Practice Fax Number | 2172226975 |
| Mailing Telephone | 2172226888 |
| Mailing Fax Number | 2172226975 |
| Enumeration Date | 2008-01-31 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | DR. MERVI HANNELE LEYENDECKERS (DR OF OPTOMETRY) |
| Authorized Official Telephone | 2172226888 |
| Authorized Official Credential | O.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | 046008462 | IL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | NPI | 1083711642 | 01 |
| Street Address |
926 BROADWAY ST |
| City | QUINCY |
| State | IL |
| Zip Code | 62301-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730172636 | Mark J Wiegand | Chiropractor | 926 Broadway St, Suite 4, Quincy, IL 62301-2748 | 2005-08-25 |
| 1396046090 | Mervi H Leyendeckers, O.d., P.C. | Optometrist | 926 Broadway St, Quincy, IL 62301-2730 | 2010-11-11 |
| 1295822625 | Mark Wiegand Dc Sc | Chiropractor | 926 Broadway St, Suite 4, Quincy, IL 62301-2748 | 2006-10-06 |
| 1083711642 | Mervi Hannele Leyendeckers | Optometrist | 926 Broadway St, Quincy, IL 62301-2748 | 2006-09-17 |
| 1093766081 | Allan Artificial Limbs | Prosthetic/Orthotic Supplier | 926 Broadway St, Suite 3, Quincy, IL 62301-2730 | 2006-05-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356969471 | Lutheran Child and Family Service of Illinois | Foster Care Agency | 1400 N. 30th St, Quincy, IL 62301 | 2020-07-07 |
| 1134749716 | Bethany Nicole Jumps | Pharmacist | Broadway St & N 11th St, Quincy, IL 62301 | 2020-04-23 |
| 1043844293 | S.crider Construction An Supply Corp. | Contractor | 529 Woodbridge Dr., Quincy, IL 62301 | 2020-02-26 |
| 1245862002 | Quincy Physicians & Surgeons Clinic, Sc | Clinic/Center | 3301 Broadway St., Quincy, IL 62301 | 2020-02-10 |
| 1043851488 | West Central Illinois Nutrition | In Home Supportive Care | 639 York St. Room 333, Quincy, IL 62301 | 2019-10-07 |
| 1861986549 | Quincy Physicians & Surgeons Clinic, Sc | Internal Medicine | 3347 Broadway St, Quincy, IL 62301 | 2018-06-18 |
| 1194255083 | Michael Andrew Behrens | Nurse Practitioner | Broadway and 11th Street, Quincy, IL 62301 | 2017-06-14 |
| 1770987323 | Kirsty Yvonne Reed | Counselor | 205 S. 24th Street, Chaddock, Quincy, IL 62301 | 2014-10-10 |
| 1114234499 | Dale D. Shahan Dds Ltd | Dentist | 636 Hampshire Suite 102, Quincy, IL 62301 | 2010-09-08 |
| 1730314071 | James D Kaufmann | Pharmacist | 14th & Broadway, Quincy, IL 62301 | 2009-05-15 |
| Find all providers in zip 62301 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932687654 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 460 Quincy Ave Rm 236, Quincy, MA 02169-8130 | 2018-08-03 |
| 1376059584 | Atlantis Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 692 Hancock St, Quincy, MA 02170-2814 | 2017-12-26 |
| 1790072916 | Wal-mart Stores East Lp | Durable Medical Equipment & Medical Supplies | 1001 Warrior Way, Quincy, WV 25015-1300 | 2011-07-08 |
| 1386955250 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 324 Hancock St, Quincy, MA 02171-2258 | 2010-06-25 |
| 1427389063 | Allied Healthcare | Durable Medical Equipment & Medical Supplies | 333 Victory Rd Ste 11, Quincy, MA 02171-3111 | 2010-01-21 |
| 1578713418 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 101 F Street Se, Quincy, WA 98848-1213 | 2008-09-29 |
| 1003968553 | Denman Services, Inc. | Durable Medical Equipment & Medical Supplies | 1020 Broadway St, Quincy, IL 62301-2835 | 2007-01-17 |
| 1427100155 | Denman Services, Inc | Durable Medical Equipment & Medical Supplies | 1014 Maine St, Quincy, IL 62301-4039 | 2007-01-16 |
| 1194890962 | Hanger Prosthetics & Orthotics East Inc | Durable Medical Equipment & Medical Supplies | 325 S 8th St, Quincy, IL 62301-4159 | 2006-11-21 |
| 1376628909 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 307 N 36th St Ste 205, Quincy, IL 62301-3760 | 2006-10-25 |
| Find all providers in QUINCY | ||||
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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.