CENTER FOR SIGHT CENTRAL IL I SC (NPI# 1174667448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174667448 |
| Entity Type | Organization |
| Organization Name | CENTER FOR SIGHT CENTRAL IL I SC |
| Practice Address |
304 W Hay St Suite 311 Decatur IL 62526-6328 |
| Practice Telephone | 2178775050 |
| Practice Fax Number | 2178779711 |
| Mailing Telephone | 2178775050 |
| Mailing Fax Number | 2178779711 |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2009-09-23 |
| Authorized Official Name | DR. PHILLIP D ALWARD (OWNER) |
| Authorized Official Telephone | 2178775050 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207W00000X | Ophthalmology | 036054803 | IL | Allopathic & Osteopathic Physicians |
| Y | 152W00000X | Optometrist | 046008823 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | 036054803 | 05 | |
| IL | 046008823 | 05 | |
| IL | RR MEDICARE | 180022789 | 01 |
| IL | BLUE CROSS | 05815176 | 01 |
| Street Address |
304 W HAY ST SUITE 311 |
| City | DECATUR |
| State | IL |
| Zip Code | 62526-6328 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285638072 | M Stephen Huss | Orthopaedic Surgery | 304 W Hay St, Ste 213, Decatur, IL 62526-4169 | 2005-06-09 |
| 1407397284 | Amanda Kierbs | Nurse Practitioner | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2017-03-14 |
| 1881901593 | Ryan Casey Williamson | Specialist/Technologist | 304 W Hay St, Suite 218, Decatur, IL 62526-6328 | 2010-09-02 |
| 1013161538 | Ranjodh Singh | Surgery | 304 W Hay St, Ste 313, Decatur, IL 62526-4167 | 2008-11-11 |
| 1801046958 | Marshall F. Brustein M.d. | Occupational Therapist | 304 W Hay St, Suite 112, Decatur, IL 62526-6328 | 2008-09-25 |
| 1912195595 | Babich Skin Care Center, Inc. | Dermatology | 304 W Hay St, Suite 313, Decatur, IL 62526-6328 | 2007-10-09 |
| 1710172325 | Donald Walter Wendt | Physician Assistant | 304 W Hay St, Ste 111, Decatur, IL 62526-6328 | 2007-09-07 |
| 1922128388 | Decatur Neurological Associates Ltd. | Clinic/Center | 304 W Hay St, Ste 214, Decatur, IL 62526-6328 | 2007-03-30 |
| 1255465951 | M Stephen Huss M.d.,s.c. | Orthopaedic Surgery | 304 W Hay St, Suite 213, Decatur, IL 62526-6328 | 2007-03-15 |
| 1043355480 | Jms Hand Associates, S.c. | Durable Medical Equipment & Medical Supplies | 304 W Hay St, Suite 215, Decatur, IL 62526-6328 | 2007-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083100804 | Coalition | Non-emergency Medical Transport (VAN) | 2375 N Longwood Dr, Decatur, IL 62526 | 2018-07-04 |
| 1881116820 | Bria N Howard | Nurse's Aide | 606 E Warren St. Apt 609, Decatur, IL 62526 | 2017-07-12 |
| 1437683679 | Lutheran Child and Family Services | Foster Care Agency | 2826 N. Monroe Street, Decatur, IL 62526 | 2017-04-14 |
| 1083166326 | Whitney Miller | Pharmacist | 225 East Ash Ave, Decatur, IL 62526 | 2016-11-03 |
| 1487053369 | Central Illinois Health Associates, Inc | Preferred Provider Organization | 2300 N. Edward Street, Decatur, IL 62526 | 2014-08-18 |
| 1659787893 | Stephanie Marie Kanitsch | Obstetrics & Gynecology | 544 W Pershing Rd Ste A, Decatur, IL 62526 | 2014-07-09 |
| 1497169973 | Brian Hassinger | Audiologist-Hearing Aid Fitter | 2605 N Water St Ste 101, Decatur, IL 62526 | 2014-06-12 |
| 1891041570 | Decatur 2016 LLC | Dentist | 141 Epershing Rd, Decatur, IL 62526 | 2012-07-31 |
| 1558639005 | Larry Lee Christensen | Pharmacist | 225 Ash Ave, Decatur, IL 62526 | 2011-12-12 |
| 1174821540 | Nathan Pyle | Internal Medicine | 2 Memorial Dr Ste 101, Decatur, IL 62526 | 2011-03-08 |
| Find all providers in zip 62526 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| 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. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295340172 | National Vision Inc | Optometrist | 1107 Beltline Rd Se Ste C, Decatur, AL 35601-6556 | 2020-09-09 |
| 1902433691 | Decatur Eye Care | Optometrist | 321 W Hill St Ste 6, Decatur, GA 30030-4362 | 2020-03-24 |
| 1114468089 | T&t Eyecare, LLC | Optometrist | 2570 Blackmon Dr., Suite 360, Decatur, GA 30033 | 2017-03-13 |
| 1487952503 | Michael A. Harshman P.C. | Optometrist | 815 S 13th St, Decatur, IN 46733-1803 | 2011-03-14 |
| 1962736660 | Johnny H Lott Jr. | Optometrist | 2301 Point Mallard Dr Se, Decatur, AL 35601-6741 | 2009-09-28 |
| 1033371729 | Jonathan R Bradley | Optometrist | 4837 E Rt 36, Central Illinois Vision Center, Decatur, IL 62521 | 2008-06-25 |
| 1649482274 | Keith F Fishe | Optometrist | 3580 Memorial Dr, Decatur, GA 30032-2723 | 2007-05-04 |
| 1962524033 | Asfaw Kindeya Natu | Optometrist | 2050 Lawrenceville Hwy Ste D50, Decatur, GA 30033-4316 | 2007-04-06 |
| 1821122060 | Shama Jitendra Patel | Optometrist | 2851 Candler Rd, Suite 100, Decatur, GA 30034-1412 | 2007-03-16 |
| 1306977103 | Marc Vision Care, Ltd. | Optometrist | 2705 N Water St Ste C, Decatur, IL 62526-6502 | 2007-03-07 |
| Find all providers in DECATUR | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.