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MACON COUNTY EYE CENTER PC NPI 1932200094


NPI Information

NPI: 1932200094
Provider Name: MACON COUNTY EYE CENTER PC
Classification: Ophthalmology - 207W00000X
Entity Type: Organization
Address:
646 W PERSHING RD
DECATUR, IL
ZIP 62526
Phone: (217) 875-0300
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MACON COUNTY EYE CENTER PC is an ophthalmology in Decatur, 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. MACON COUNTY EYE CENTER PC NPI is 1932200094. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

646 W PERSHING RD
DECATUR, IL
ZIP 62526-633
Phone: (217) 875-0300
Fax: (217) 875-9525

The provider's authorized official is Sushant K Sinha .
The authorized official title is Ceo Owner and has the following contact phone number (217) 875-0300.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 7/29/2011.


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
1207W00000XOphthalmology060006631ILLINOISYes

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
1385160MEDICARE ID-TYPE UNSPECIFIEDILLINOISOPHTHALMOLOGY GROUP NUMBE
21105390001MEDICARE NSCILLINOIS
3CM2217MEDICARE ID-TYPE UNSPECIFIEDILLINOISRR MEDICARE GROUP #

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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