PRAIRIE EYE CENTER LTD NPI 1730564261

NPI Information

  • NPI: 1730564261
  • Provider Name: PRAIRIE EYE CENTER LTD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Organization
  • Doing Business As: PRAIRIE RETINA CENTER
  • Address: 2020 W ILES AVE
    SPRINGFIELD, IL
    ZIP 62704
  • Phone: (217) 698-3030

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NPI Details

PRAIRIE EYE CENTER LTD is an ophthalmology in Springfield, IL. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. PRAIRIE EYE CENTER LTD NPI is 1730564261. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Prairie Retina Center.

The provider's business location address is:

2020 W ILES AVE
SPRINGFIELD, IL
ZIP 62704-174
Phone: (217) 698-3030
Fax: (217) 321-2026

The provider's authorized official is Jason Lang .
The authorized official title is Billing Administrator and has the following contact phone number (217) 698-3030.

The enumeration date for this NPI number is 7/27/2015 and was last updated on 2/17/2021.

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
1207WX0107XOphthalmologyRetina SpecialistNo
2207W00000XOphthalmologyYes

What is NPI?

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This page was last updated on: 11/21/2025

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