PRAIRIE EYE CENTER LTD (NPI# 1730564261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730564261 |
Entity Type | Organization |
Organization Name | PRAIRIE EYE CENTER LTD |
Other Organization Name | PRAIRIE RETINA CENTER |
Practice Address |
1230 Centre West Dr Springfield IL 62704-2173 |
Mailing Address |
2020 W Iles Ave Springfield IL 62704-7015 |
Practice Telephone | 2173212020 |
Practice Fax Number | 2173212026 |
Mailing Telephone | 2176983030 |
Mailing Fax Number | 2176984728 |
Enumeration Date | 2015-07-27 |
Last Update Date | 2015-07-27 |
Authorized Official Name | SANDRA YEH (PRESIDENT / OWNER) |
Authorized Official Telephone | 2176983030 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207W00000X | Ophthalmology | 042-000760 | IL | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
Prairie Retina Center | Doing Business As Name - Organization |
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 |
1376773598 | Prairie Eye Center Ltd | Optometrist | 106 E Main St, Beardstown, IL 62618-1241 | 2009-07-22 |
Street Address |
1230 CENTRE WEST DR |
City | SPRINGFIELD |
State | IL |
Zip Code | 62704-2173 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851590343 | Ankur Manilal Shah | Ophthalmology | 1230 Centre West Dr, Springfield, IL 62704-2173 | 2007-07-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902394901 | Hillary Haaker | Occupational Therapist | 2035 W Iles, Suite C, Springfield, ID 62704 | 2018-04-25 |
1871095364 | Edward Doyle Slifer Sr. | Pathology | 2117 Greenside Drive, Spring Field, IL 62704 | 2018-03-01 |
1598263345 | Santarelli & Feller Dental Group | Dentist | 1140 Rickard Road, Suite B, Springfield, IL 62704 | 2018-01-26 |
1447774757 | Lisa Ann Rogers | Developmental Therapist | 2101 Lexington Dr, Apt 3, Springfield, IL 62704 | 2017-07-28 |
1730611286 | Mindi Rowe | Occupational Therapist | 2508 County Rd 4 1/2 E, Springfield, IL 62704 | 2017-04-03 |
1366992208 | Jayme Jordan | Contractor | 2409 Westchester Blvd, Springfield, IL 62704 | 2016-10-04 |
1154793974 | Dina Payne | Social Worker | 917 Clocktower Drive, Suite 600, Springfield, IL 62704 | 2015-10-21 |
1770959819 | James R Reynolds | Hearing Instrument Specialist | 2347 W Monroe St, Springfield, IL 62704 | 2015-08-12 |
1336576495 | Emily Jane Dungey | Counselor | 920 S Spring St Ste 1300, Springfield, IL 62704 | 2013-10-03 |
1942552161 | Jeannie Marie Hundley | Specialist/Technologist, Other | 2921 Monvale Drive, Springfield, IL 62704 | 2012-10-11 |
Find all providers in zip 62704 |
Taxonomy Code | 207W00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Ophthalmology |
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912310392 | Lucas Lenci | Ophthalmology | 1531 E Bradford Pkwy Ste 100, Springfield, MO 65804-6539 | 2014-06-03 |
1417375577 | Shilpa Gulati | Ophthalmology | 3640 Main St Ste 201, Springfield, MA 01107-1139 | 2014-04-04 |
1285900423 | Ashley Abraham | Ophthalmology | 400 N 9th St Fl 3, Springfield, IL 62702-5310 | 2012-03-30 |
1891072963 | Roger Bruce Schlemmer | Ophthalmology | 2733 East Battlefield Rd., #106, Springfield, MO 65804-3981 | 2011-11-03 |
1881905602 | An Thien Vo | Ophthalmology | 100 W Sproul Rd Ste 100, Springfield, PA 19064-2033 | 2010-06-25 |
1033433925 | Jessica Eva Van Looveren | Ophthalmology | 8136 Old Keene Mill Rd Ste 300b300, Springfield, VA 22152-1850 | 2010-03-21 |
1427212737 | Sarah Anne Hanson | Ophthalmology | 3640 Main St Ste 205, Springfield, MA 01107-1139 | 2008-07-16 |
1588824221 | Adam Avery Carver | Ophthalmology | 1229 E Seminole St Ste 420, Springfield, MO 65804-2227 | 2008-06-16 |
1689840803 | Marissa Lynn Albano | Ophthalmology | 8136 Old Keene Mill Rd Ste 300, Springfield, VA 22152-1850 | 2008-05-07 |
1417126889 | Richard A. Lane Md PC | Ophthalmology | 441 River Street, Springfield, VT 05156 | 2008-02-29 |
Find all providers in SPRINGFIELD |
City | SPRINGFIELD |
Zip Code | 62704 |
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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.