Provider Type Icon

FIRESIDE EYE CARE P.C. NPI 1447448717


NPI Information

NPI: 1447448717
Provider Name: FIRESIDE EYE CARE, P.C.
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
600 S 8TH ST
BENLD, IL
ZIP 62009
Phone: (217) 835-7724
Get Directions

FIRESIDE EYE CARE, P.C. is an optometrist in Benld, 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. FIRESIDE EYE CARE, P.C. NPI is 1447448717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

600 S 8TH ST
BENLD, IL
ZIP 62009-446
Phone: (217) 835-7724
Fax: (217) 835-7611

The provider's authorized official is Shawna Heddinghaus .
The authorized official title is Optometrist and has the following contact phone number (217) 835-7724.

The enumeration date for this NPI number is 10/11/2007 and was last updated on 8/13/2012.


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
1152W00000XOptometrist46009181ILLINOISYes

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
1U76517MEDICARE UPINILLINOIS
205927400OTHERILLINOISBCBS
3K14619MEDICARE PINILLINOIS
45275510001OTHERILLINOISADMINASTAR
5210902OTHERILLINOISMEDICARE GROUP
6419640OTHERILLINOISHEALTHLINK
70460091814MEDICAIDILLINOIS
85275510001MEDICARE NSCILLINOIS
9P00184209OTHERILLINOISMEDICARE RR

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.