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DECATUR EYECARE ASSOCIATES NPI 1053572255


NPI Information

NPI: 1053572255
Provider Name: DECATUR EYECARE ASSOCIATES
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1270 S JASPER ST
DECATUR, IL
ZIP 62521
Phone: (217) 422-8032
Get Directions

DECATUR EYECARE ASSOCIATES is an optometrist in Decatur, IL. The provider is 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. DECATUR EYECARE ASSOCIATES NPI is 1053572255. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1270 S JASPER ST
DECATUR, IL
ZIP 62521-531
Phone: (217) 422-8032

The provider's authorized official is Charles E Bedford .
The authorized official title is Optometrist/owner and has the following contact phone number (217) 422-8032.

The enumeration date for this NPI number is 6/19/2008 and was last updated on 6/19/2008.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1152W00000XOptometrist467080ILLINOISYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1410017583OTHERILLINOISRAILROAD MEDICARE
24095740001OTHERILLINOISDMERC MEDICARE
3714680OTHERILLINOISMEDICARE ID
40005884011OTHERILLINOISBLUE CROSS AND SHIELD OF ILLINOIS
5046007080MEDICAIDILLINOIS
6T38054MEDICARE UPINILLINOIS
7714680MEDICARE PINILLINOIS
84095740001MEDICARE 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: 5/5/2024

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