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CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD NPI 1427174960


NPI Information

NPI: 1427174960
Provider Name: CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD

Doing Business As: ADVANCED EYECARE OF LINCOLN

Classification: Optometrist - 152W00000X
Entity Type: Organization

CLIA Number: 14D2282977

Address:
623 PULASKI ST
LINCOLN, IL
ZIP 62656
Phone: (217) 732-9606
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CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD is an optometrist in Lincoln, 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. CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD NPI is 1427174960. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Advanced Eyecare Of Lincoln.

The provider's business location address is:

623 PULASKI ST
LINCOLN, IL
ZIP 62656-825
Phone: (217) 732-9606
Fax: (217) 732-4580

The provider's authorized official is Debra S Smothers-champley .
The authorized official title is Ceo and has the following contact phone number (217) 824-4991.

The CLIA number assigned to this NPI record is 14D2282977 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 4/18/2011.


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
1152W00000XOptometrist046008739ILLINOISNo
2152W00000XOptometrist046008024ILLINOISYes

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
1U57444MEDICARE UPINILLINOIS
2046008024MEDICAIDILLINOIS
3046008739MEDICAIDILLINOIS
4353010MEDICARE ID-TYPE UNSPECIFIEDILLINOISMEDICARE GROUP NUMBER
5L32709MEDICARE ID-TYPE UNSPECIFIEDILLINOISDR. RABE
60312490004MEDICARE NSCILLINOIS
70001115000OTHERILLINOISBC BS GROUP NUMBER
8T38877MEDICARE UPINILLINOIS
9L38179MEDICARE ID-TYPE UNSPECIFIEDILLINOISSMOTHERS-CHAMPLEY

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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