EYECARE MANAGEMENT LLC (NPI# 1700938578) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700938578 |
| Entity Type | Organization |
| Organization Name | EYECARE MANAGEMENT LLC |
| Other Organization Name | ILLINOIS EYE SURGEONS |
| Practice Address |
12 Professional Park Dr Maryville IL 62062-5672 |
| Mailing Address |
3990 N Illinois St Swansea IL 62226-1919 |
| Practice Telephone | 6182887266 |
| Practice Fax Number | 6182884583 |
| Mailing Telephone | 6182771130 |
| Mailing Fax Number | 6182774917 |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2011-09-15 |
| Authorized Official Name | SANDY CUMMINS (INSURANCE ADMINISTRATOR) |
| Authorized Official Telephone | 6183102255 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Other Name | Type Code |
|---|---|
| Illinois Eye Surgeons | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699806919 | Eyecare Management LLC | Optometrist | 12818 Tesson Ferry Rd, Suite 201, Saint Louis, MO 63128-2945 | 2007-03-08 |
| Street Address |
12 PROFESSIONAL PARK DR |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062-5672 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386641066 | Novamed Eye Surgery Center of Maryville, LLC | Clinic/Center | 12 Professional Park Dr, Maryville, IL 62062-5672 | 2005-07-07 |
| 1558644930 | Jfj Eyecare Ltd | Durable Medical Equipment & Medical Supplies | 12 Professional Park Dr, Maryville, IL 62062-5672 | 2011-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| 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 |
|---|---|---|---|---|
| 1629610308 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1715 W Broadway Ave, Maryville, TN 37801-5509 | 2019-10-14 |
| 1497161137 | Meijer Stores Limited Partnership | Durable Medical Equipment & Medical Supplies | 930 Coleman's Crossing Blvd., Maryville, OH 43040-2543 | 2014-07-02 |
| 1417375403 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1602 E Lamar Alexander Pkwy, Maryville, TN 37804-6206 | 2014-04-07 |
| 1336562453 | Anesthesia Services Associates, Pllc | Durable Medical Equipment & Medical Supplies | 103 Station Dr, Maryville, TN 37804-4190 | 2014-01-24 |
| 1881028413 | First Choice Home Medical Supply, LLC | Durable Medical Equipment & Medical Supplies | 679 Morganton Square Dr, Maryville, TN 37801-4763 | 2013-08-30 |
| 1164727046 | Hanger Prosthetics & Orthotics East, Inc. | Durable Medical Equipment & Medical Supplies | 266 Cherokee Professional Park, Maryville, TN 37804-5153 | 2011-01-24 |
| 1346494176 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 6607 State Route 162, Maryville, IL 62062-8514 | 2008-11-06 |
| 1306000195 | M Rogers Inc & Subsidiary | Durable Medical Equipment & Medical Supplies | 125 E South Ave, Maryville, MO 64468-2669 | 2008-07-11 |
| 1275720740 | Walgreen Co. | Durable Medical Equipment & Medical Supplies | 2409 Us Highway 411 S, Maryville, TN 37801-8635 | 2007-09-28 |
| 1730211004 | Balance and Support Dynamics, LLC | Durable Medical Equipment & Medical Supplies | 1431 E Harper Ave, Maryville, TN 37804-3261 | 2007-03-12 |
| Find all providers in MARYVILLE | ||||
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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.