PREMIER EYECARE CENTER PC (NPI# 1619092863) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619092863 |
| Entity Type | Organization |
| Organization Name | PREMIER EYECARE CENTER PC |
| Practice Address |
742 N Market St Suite A Waterloo IL 62298 |
| Practice Telephone | 6189394040 |
| Practice Fax Number | 6189393903 |
| Mailing Telephone | 6189394040 |
| Mailing Fax Number | 6189393903 |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2018-06-11 |
| Authorized Official Name | MR. ROBERT L TOAL JR. (OWNER) |
| Authorized Official Telephone | 6189394040 |
| Authorized Official Credential | OD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 046008356 | IL | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | BLUE CROSS BLUE SHIELD | 06732021 | 01 |
| Street Address |
742 N MARKET ST SUITE A |
| City | WATERLOO |
| State | IL |
| Zip Code | 62298 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619909546 | Daniel Edward Brunkhorst | Chiropractor | 742 N Market St, Suite D, Waterloo, IL 62298-1079 | 2006-07-07 |
| 1396003083 | Dr. Jennifer Kujawski, LLC | Chiropractor | 742 N Market St, Suite D, Waterloo, IL 62298-1079 | 2012-05-01 |
| 1710111703 | Jennifer R Steinbaugh | Chiropractor | 742 N Market St, Suite D, Waterloo, IL 62298-1079 | 2009-05-06 |
| 1720231871 | Essential Healthcare, LLC | Chiropractor | 742 N Market St, Suite D, Waterloo, IL 62298-1079 | 2008-11-01 |
| 1043488224 | Emily E Woods | Chiropractor | 742 N Market St, Suite D, Waterloo, IL 62298-1079 | 2008-02-11 |
| 1588846190 | Access Healthcare of Waterloo, Ltd | Chiropractor | 742 N Market St, Suite D, Waterloo, IL 62298-1079 | 2007-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508471418 | Waterloo Urgent Care Walk In Clinic Company | Clinic/Center | 901 Illinois Route 3, Waterloo, IL 62298 | 2020-09-09 |
| 1235624867 | Las Davis Enterprises | Hearing Instrument Specialist | 911 State Rte 3, Waterloo, IL 62298 | 2018-06-26 |
| 1255727269 | Anna Witges | Counselor | 988 Il-3, Waterloo, IL 62298 | 2015-04-07 |
| 1558766741 | Sheri Buettner | Counselor | 988 Illinois Route 3, Waterloo, IL 62298 | 2014-10-30 |
| 1386050953 | Jessica Liefer | Counselor | 988 N Illinois Rt 3, Waterloo, IL 62298 | 2014-07-03 |
| 1952729279 | Orthodontic Associates of Columbia and Waterloo | Dentist | 224 Bradford Lane Suite B, Waterloo, IL 62298 | 2014-04-03 |
| 1588963961 | Monroe County Surgical Center,llc | Clinic/Center | 501 Hamacher St, Waterloo, IL 62298 | 2011-03-24 |
| 1841523776 | Waterloo Women's Health | Nurse Practitioner | 869 N. Illinois Rt 3, Waterloo, IL 62298 | 2009-09-10 |
| 1548444011 | Marla Rae Smith | Nurse Practitioner | 869 North Illinois Rt 3, Waterloo, IL 62298 | 2007-12-20 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| Find all providers in zip 62298 | ||||
| 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 |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1841538733 | J.m. Tempel O.d. P.C. | Optometrist | 1952 Plymouth Ave, Waterloo, IA 50702-3524 | 2013-01-28 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1417113812 | Emily Halbur | Optometrist | 2018 Sears St, Waterloo, IA 50702-4401 | 2008-08-05 |
| 1649464553 | Clarkson Optometry Illinois PC | Optometrist | 204 Bradford Lane, Waterloo, IL 62298 | 2007-09-04 |
| 1265479281 | Scott Wayne Lewis | Optometrist | 204 Bradford Ln, Waterloo, IL 62298-3267 | 2006-05-31 |
| 1740234376 | Suzanne Renee Smith | Optometrist | 909 E San Marnan Dr, Waterloo, IA 50702-5611 | 2006-05-19 |
| 1619937133 | Iowa Eyecare Associates PC | Optometrist | 999 Home Plz, Suite 100, Waterloo, IA 50701-4822 | 2006-03-27 |
| 1114990116 | Robert L Toal Jr. | Optometrist | 742 North Market, Suite A, Waterloo, IL 62298 | 2006-02-09 |
| 1780654046 | Bradley Joseph Knox | Optometrist | 1030 Alabar Ave, Waterloo, IA 50701-3200 | 2006-01-26 |
| Find all providers in WATERLOO | ||||
Please comment or provide details below to improve the information on PREMIER EYECARE CENTER PC.
| 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.