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NORTHWEST EYECARE PC NPI 1184800625


NPI Information

NPI: 1184800625
Provider Name: NORTHWEST EYECARE PC
Classification: Optometrist - 152W00000X
Entity Type: Organization
Address:
1000 KIWANIS DR
FREEPORT, IL
ZIP 61032
Phone: (815) 235-6177
Get Directions

NORTHWEST EYECARE PC is an optometrist in Freeport, 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. NORTHWEST EYECARE PC NPI is 1184800625. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1000 KIWANIS DR
FREEPORT, IL
ZIP 61032-921
Phone: (815) 235-6177
Fax: (815) 235-6180

The provider's authorized official is Nikolas S Diemer .
The authorized official title is Optometrist and has the following contact phone number (815) 235-6177.

The enumeration date for this NPI number is 1/15/2008 and was last updated on 11/18/2015.


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
1152W00000XOptometristYes

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
1210870MEDICARE PINILLINOIS
2CC3861MEDICARE PINILLINOIS
3CC3859MEDICARE PINILLINOIS
40724420001MEDICARE NSCILLINOIS
5CN7121MEDICARE PINILLINOIS

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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