Provider Type Icon

MCDONOUGH EYE ASSOCIATES PC NPI 1144224924


NPI Information

NPI: 1144224924
Provider Name: MCDONOUGH EYE ASSOCIATES PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization

CLIA Number: 14D2085005

Address:
505 E GRANT ST
STE 206
MACOMB, IL
ZIP 61455
Phone: (309) 836-3937
Get Directions

MCDONOUGH EYE ASSOCIATES PC is an ophthalmology in Macomb, 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. MCDONOUGH EYE ASSOCIATES PC NPI is 1144224924. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

505 E GRANT ST
STE 206
MACOMB, IL
ZIP 61455-373
Phone: (309) 836-3937
Fax: (309) 833-1894

The provider's authorized official is Jill M Brody .
The authorized official title is President and has the following contact phone number (309) 836-3937.

The CLIA number assigned to this NPI record is 14D2085005 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/9/2005 and was last updated on 1/23/2008.


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
1207W00000XOphthalmologyILLINOISYes

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
1U58416MEDICARE UPINILLINOIS
2F22152MEDICARE UPINILLINOIS
31232350001MEDICARE NSCILLINOIS
4480120MEDICARE ID-TYPE UNSPECIFIEDILLINOIS

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.