EYE SURGEONS ASSOCIATES PC NPI 1316030034

NPI Information

NPI: 1316030034
Provider Name: EYE SURGEONS ASSOCIATES PC
Classification: Eyewear Supplier - 332H00000X
Entity Type: Organization

CLIA Number: 16D2076831

Address:
4731 45TH STREET CT
ROCK ISLAND, IL
ZIP 61201
Phone: (309) 793-2020
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EYE SURGEONS ASSOCIATES PC is an eyewear supplier in Rock Island, IL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. EYE SURGEONS ASSOCIATES PC NPI is 1316030034. The provider is registered as an organization entity type.

The provider's business location address is:

4731 45TH STREET CT
ROCK ISLAND, IL
ZIP 61201-102
Phone: (309) 793-2020
Fax: (309) 793-2602

The provider's authorized official is Patricia A Ferchen .
The authorized official title is Quality Improvement Director and has the following contact phone number (563) 323-2020.

The CLIA number assigned to this NPI record is 16D2076831 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/2/2006 and was last updated on 11/3/2011.

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
1	332H00000X	Eyewear Supplier			ILLINOIS	Yes

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
1	0250210001	MEDICARE NSC	ILLINOIS

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

NPI Synchronization or Removal

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