PRAIRIE EYE CENTER LTD (NPI# 1821228040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821228040 |
| Entity Type | Organization |
| Organization Name | PRAIRIE EYE CENTER LTD |
| Practice Address |
130 W Center St Girard IL 62640-1222 |
| Practice Telephone | 2176272718 |
| Practice Fax Number | 2176273312 |
| Mailing Telephone | 2176272718 |
| Mailing Fax Number | 2176273312 |
| 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 FINANCIAL AND PROFESSIONAL REGULATION | 042000760 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1376773598 | Prairie Eye Center Ltd | Optometrist | 106 E Main St, Beardstown, IL 62618-1241 | 2009-07-22 |
| Street Address |
130 W CENTER ST |
| City | GIRARD |
| State | IL |
| Zip Code | 62640-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356844526 | Pharmacy Plus Inc | Pharmacy | 315 W Center St, Girard, IL 62640 | 2018-03-14 |
| 1043475122 | Jennie Marie Nichelson | Developmental Therapist | 31281 Killam Rd., Girard, IL 62640 | 2008-07-28 |
| 1467679647 | Brethren Home of Girard | Nursing Facility/Intermediate Care Facility | 1010 W North, Girard, IL 62640 | 2007-04-19 |
| 1245565167 | Erica Hughes | Occupational Therapist | 1010 W North St, Girard, IL 62640-1061 | 2009-10-09 |
| 1811405996 | Karlee Bruenger | Speech-Language Pathologist | 1010 W North St, Girard, IL 62640-1061 | 2018-01-11 |
| 1043740327 | Jamie Lynn Jackson | Occupational Therapist | 1010 W North St, Girard, IL 62640-1061 | 2017-06-19 |
| 1245672203 | Sara Elizabeth Surratt | Speech-Language Pathologist | 1010 W North St, Girard, IL 62640-1061 | 2013-07-18 |
| 1861700197 | North Mac Cusd 34 | Local Education Agency (LEA) | 525 N 3rd St, Girard, IL 62640-1157 | 2010-09-21 |
| 1790893584 | Girard Comm Unit School Dist #3 | Local Education Agency (LEA) | 525 N 3rd St, Girard, IL 62640-1157 | 2006-08-29 |
| 1932237872 | Macoupin County Public Health Department | Public Health or Welfare | 202 W Center St, Girard, IL 62640-1224 | 2007-03-01 |
| Find all providers in zip 62640 | ||||
| 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 |
|---|---|---|---|---|
| 1396116935 | Kannarr Eye Care, LLC | Optometrist | 111 N Summit St, Girard, KS 66743-1360 | 2015-10-08 |
| 1922105295 | Andrew Prischak Od | Optometrist | 229 West Main St, Girard, PA 16417 | 2006-09-20 |
| 1669463071 | Andrew Michael Prischak | Optometrist | 229 Main St W, Girard, PA 16417-1615 | 2005-11-03 |
| 1538168596 | Peter E Sforza Jr. | Optometrist | 514 N State St, Girard, OH 44420-1745 | 2005-07-20 |
| 1164762423 | Emily Hosack, LLC | Optometrist | 229 Main St W, Girard, PA 16417-1615 | 2013-02-25 |
| 1700068608 | Peter E Sforza Jr Od Inc | Optometrist | 514 N State St, Girard, OH 44420-1745 | 2007-12-03 |
| 1154385045 | Susan Jean Godzac | Optometrist | 229 Main St W, Girard, PA 16417-1615 | 2006-04-17 |
| 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 | ||||
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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.