CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD NPI 1336265875

NPI Information

  • NPI: 1336265875
  • Provider Name: CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD
  • Classification: Optometrist - 152W00000X
  • Entity Type: Organization
  • Doing Business As: ADVANCED EYECARE OF VIRDEN
  • Address: 119 N SPRINGFIELD ST
    VIRDEN, IL
    ZIP 62690
  • Phone: (217) 965-3306

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NPI Details

CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD is an optometrist in Virden, 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. CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD NPI is 1336265875. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Eyecare Of Virden.

The provider's business location address is:

119 N SPRINGFIELD ST
VIRDEN, IL
ZIP 62690-455
Phone: (217) 965-3306
Fax: (217) 965-3679

The provider's authorized official is Keith Hedrick .
The authorized official title is Ceo and has the following contact phone number (217) 965-3306.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/18/2011.

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
1152W00000XOptometrist046006408ILLINOISNo
2152W00000XOptometrist046008125ILLINOISYes

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
1410042503OTHERILLINOISHEDRICK RAILRAOD MEDICARE
2410042688OTHERILLINOISRUBRICH RAILRAOD MEDICARE
3046008125MEDICAIDILLINOIS
4L08476MEDICARE ID-TYPE UNSPECIFIEDILLINOISRUBRICH MEDICARE
50001115000OTHERILLINOISBC BS GROUP NUMBER
6T35435MEDICARE UPINILLINOIS
7501930MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
8046006408MEDICAIDILLINOIS
9T35434MEDICARE UPINILLINOIS
10L08475MEDICARE ID-TYPE UNSPECIFIEDILLINOISHEDRICK MEDICARE
110312490006MEDICARE 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: 11/21/2025

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