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CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD NPI 1427174275


NPI Information

NPI: 1427174275
Provider Name: CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD

Doing Business As: ADVANCED EYECARE OF TAYLORVILLE

Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
900 W SPRINGFIELD RD
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-4991
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CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD is an optometrist in Taylorville, 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 1427174275. 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 Taylorville.

The provider's business location address is:

900 W SPRINGFIELD RD
TAYLORVILLE, IL
ZIP 62568-213
Phone: (217) 824-4991
Fax: (217) 824-5414

The provider's authorized official is Dennis W Rabe .
The authorized official title is Ceo and has the following contact phone number (217) 824-4991.

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
1152W00000XOptometrist046008739ILLINOISNo
2152W00000XOptometrist046008024ILLINOISNo
3152W00000XOptometrist046006087ILLINOISYes

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
1U57444MEDICARE UPINILLINOIS
2T35907MEDICARE UPINILLINOIS
30312490001MEDICARE NSCILLINOIS
4932160MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
5L12034MEDICARE ID-TYPE UNSPECIFIEDILLINOIS
6L12035MEDICARE ID-TYPE UNSPECIFIEDILLINOISDR, RABE
70001115000OTHERILLINOISBC BS GROUP NUMBER
8410015010OTHERILLINOISRABE RAILROAD NUMBER
9410015009OTHERILLINOISBLACKMAN RAILROAD NUMBER
10046008739MEDICAIDILLINOIS
11410029982OTHERILLINOISSMOTHERS RAILROAD NUMBER
12T38877MEDICARE UPINILLINOIS
13L37898MEDICARE ID-TYPE UNSPECIFIEDILLINOISDR SMOTTHERS-CHAMPLEY
14046006087MEDICAIDILLINOIS
15046008024MEDICAIDILLINOIS

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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