HEYDE EYE CENTER S.C (NPI# 1205829389) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205829389 |
| Entity Type | Organization |
| Organization Name | HEYDE EYE CENTER S.C |
| Practice Address |
400 Ne Saint Mark Ct Peoria IL 61603-3717 |
| Practice Telephone | 3096741234 |
| Practice Fax Number | 3096746422 |
| Mailing Telephone | 3096741234 |
| Mailing Fax Number | 3096746422 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2010-06-17 |
| Authorized Official Name | DR. RAYMOND R HEYDE (OWNER) |
| Authorized Official Telephone | 3096742244 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 152W00000X | Optometrist | Eye and Vision Services Providers | ||
| N | 332H00000X | Eyewear Supplier (Equipment, not the service) | 036075507 | IL | Suppliers |
| Y | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians |
| Street Address |
400 NE SAINT MARK CT |
| City | PEORIA |
| State | IL |
| Zip Code | 61603-3717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861484263 | Raymond R Heyde | Ophthalmology | 400 Ne Saint Mark Ct, Peoria, IL 61603-3717 | 2005-08-22 |
| 1275526790 | Jeffrey R Henline | Optometrist | 400 Ne Saint Mark Ct, Peoria, IL 61603-3717 | 2005-08-30 |
| 1922090331 | William E Fish | Optometrist | 400 Ne Saint Mark Ct, Peoria, IL 61603-3717 | 2005-08-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598362980 | Courtney Klein | Nurse Practitioner | 1306 N. Berkley Ave, Peoria, IL 61603 | 2020-10-08 |
| 1114588217 | Kong Xing Wang | Dentist | 320 East Armstrong Ave, Peoria, IL 61603 | 2019-06-28 |
| 1073015319 | Sara Kristine Rosenbery | Nurse Practitioner | 515 Ne Glen Oak Ave Ste 202, Peoria, IL 61603 | 2018-03-02 |
| 1861860058 | Jennifer Michelle Kelsey | Clinical Nurse Specialist | 420 Ne Glen Oak Avenue, Suite 401, Peoria, IL 61603 | 2015-09-04 |
| 1467859793 | Bonnie Lansing | Counselor | 617 N Gendale Avenue, Behavioral Health Adult Program, Peoria, IL 61603 | 2014-12-02 |
| 1639597172 | Jael K. Mahasi | Counselor | 1800 Ne Perry Avenue, Peoria, IL 61603 | 2014-04-02 |
| 1992054829 | Justin S Ferragut | Radiology | 530 Northeast Glen Oak Avenue, Peoria, IL 61603 | 2012-09-06 |
| 1780952994 | Syed Muhammad Tayyab | Internal Medicine | 828 Ne Glen Oak Ave Apt No208a, Peoria, IL 61603 | 2011-12-02 |
| 1528389079 | St. Francis Medical Center | General Acute Care Hospital | 530 N E Glen Oak Ave, Peoria, IL 61603 | 2010-06-18 |
| 1780810648 | Children's Home Association of Illinois | Voluntary or Charitable | 400 E. Frye, Peoria, IL 61603 | 2009-06-05 |
| Find all providers in zip 61603 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982899258 | Parminderpal Singh | Ophthalmology | 9151 W Thunderbird Rd Ste G101, Peoria, AZ 85381-4906 | 2007-09-10 |
| 1629294285 | Peoria Area Vision Care, LLC | Ophthalmology | 8921 North Wood Sage Rd, Peoria, IL 61615-7822 | 2007-04-18 |
| 1215016662 | Michael Samuel Grossman | Ophthalmology | 4505 N Rockwood Dr, Peoria, IL 61615-3803 | 2006-11-06 |
| 1689769143 | Southwest Eye Surgeons, Ltd | Ophthalmology | 9151 W Thunderbird Rd # G101, Peoria, AZ 85381-4906 | 2006-10-03 |
| 1295833192 | Min Cheol Kim | Ophthalmology | 14155 North 83rd Avenue, Suite 1103, Peoria, AZ 85381 | 2006-09-21 |
| 1679593123 | Wyman Sicher Eye Associates Sc | Ophthalmology | 8921 N. Wood Sage Rd, Peoria, IL 61615 | 2006-07-20 |
| 1992737084 | Chittaranjan Venkat Reddy | Ophthalmology | 3310 W Chartwell Rd, Suite 101, Peoria, IL 61614 | 2006-07-07 |
| 1689601940 | Retina Consultants of Central Illinois, Sc | Ophthalmology | 3310 West Chartwell Road, Suite 101, Peoria, IL 61614 | 2006-06-26 |
| 1215995949 | Plaza Del Rio Eye Clinic, PC | Ophthalmology | 13340 N 94th Dr, Peoria, AZ 85381-4236 | 2006-05-02 |
| 1558349001 | Martha Joanne Willi | Ophthalmology | 1216 N Maplewood Ave, Peoria, IL 61606-1038 | 2006-01-05 |
| Find all providers in PEORIA | ||||
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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.