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MIDWEST EYE ASSOCIATES LLC NPI 1841345543


NPI Information

NPI: 1841345543
Provider Name: MIDWEST EYE ASSOCIATES, LLC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization
Address:
5220 S 6TH STREET RD
SUITE 2300
SPRINGFIELD, IL
ZIP 62703
Phone: (217) 529-3937
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MIDWEST EYE ASSOCIATES, LLC is an eyewear supplier in Springfield, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. MIDWEST EYE ASSOCIATES, LLC NPI is 1841345543. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

5220 S 6TH STREET RD
SUITE 2300
SPRINGFIELD, IL
ZIP 62703-735
Phone: (217) 529-3937
Fax: (217) 529-0968

The provider's authorized official is Lance P Steahly .
The authorized official title is Owner and has the following contact phone number (217) 529-3937.

The enumeration date for this NPI number is 1/24/2007 and was last updated on 1/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyILLINOISNo
2152W00000XOptometristILLINOISNo
3332H00000XEyewear SupplierYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14820570002MEDICARE NSCILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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