ILLINOIS EXPRESS VISION CENTER, MATTOON INC


Address: 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2290
Phone: 6182445522

ILLINOIS EXPRESS VISION CENTER, MATTOON INC (NPI# 1679742183) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1679742183
Entity Type Organization
Organization Name ILLINOIS EXPRESS VISION CENTER, MATTOON INC
Other Organization Name MT VERNON EYECARE
Practice Address 3917 Broadway St
Times Square Mall
Mount Vernon
IL 62864-2290
Mailing Address 420 Broadway Ave E
Mattoon
IL 61938-4604
Practice Telephone 6182445522
Practice Fax Number 6182449512
Mailing Telephone 2172351100
Mailing Fax Number 2172351126
Enumeration Date 2008-02-28
Last Update Date 2016-03-23
Authorized Official Name AMY MARIE MILLER (ASSISTANT MANAGER)
Authorized Official Telephone 2172351100
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 152W00000X Optometrist Eye and Vision Services Providers

Other Provider Identifier

State Issuer Identifier Type Code
IL 371279746001 05

Other Provider/Organization Names

Other Name Type Code
MT VERNON EYECARE Doing Business As Name - Organization

Office Location

Street Address 3917 BROADWAY ST
TIMES SQUARE MALL
City MOUNT VERNON
State IL
Zip Code 62864-2290

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306077995 Douglas Heaton Hearing Instrument Specialist 3917 Broadway St, Mount Vernon, IL 62864-2205 2009-07-31
1699824235 Luxottica Retail North America Inc Eyewear Supplier (Equipment, not the service) 3917 Broadway St, Times Square Mall, Mount Vernon, IL 62864-2205 2007-01-10

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1619438892 Melissa Pryer Dietitian, Registered 2020 Broadway, Suite 1, Mt. Vernon, IL 62864 2019-03-28
1487145454 Chiropractic Wellness Center of Mt Vernon, LLC. Chiropractor 1009 S 42nd St Ste 5, Mount Vernon, IL 62864 2018-05-24
1851889208 Kimberly Tate Counselor 4110 North Water Place, Mt. Vernon, IL 62864 2018-05-01
1871907790 University Hematology Oncology Inc Specialist #11 Cusumano Professional Plaza, Mount Vernon, IL 62864 2014-06-18
1457771677 Dynamic Counseling and Consultation Services Social Worker 3600 S Water Tower Pl, Mt Vernon, IL 62864 2014-04-27
1619239431 Judith C Morgan Counselor 16338 N Illinois Hwy 37, Mount Vernon, IL 62864 2012-06-08
1073888624 James Brian Verges Counselor 16338 N. Illinois Hwy 37, Mount Vernon, IL 62864 2012-03-15
1720352271 Lucinda M. Holdren Counselor 16338 North Illinois Highway 37, Mount Vernon, IL 62864 2012-03-01
1780978627 Jamie M Orange Physical Therapy Assistant 19958 Fairfield Rd, Mt. Vernon, IL 62864 2011-06-08
1780978791 Wendy Marie Claytor Speech-Language Pathologist 600 E Il Hwy 15, Mount Vernon, IL 62864 2011-06-07
Find all providers in zip 62864

Taxonomy Information

Taxonomy Code 152W00000X
Grouping Eye and Vision Services Providers
Classification Optometrist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1417236803 Amanda Montgomery Optometrist 812 Coshocton Ave # 3, Mount Vernon, OH 43050-1947 2011-08-16
1982898375 Clarkson Optometry Illinois PC Optometrist 3000 Broadway St, Mount Vernon, IL 62864-2340 2007-08-29
1679629521 James Laurence Edick Optometrist 5 W High St, Mount Vernon, OH 43050-3282 2007-01-25
1518014737 Neil Scott Eberhardt Optometrist 1427 N Laventure Rd, Mount Vernon, WA 98273-2765 2007-01-03
1538223417 David W Wineland Optometrist 110 Coshocton Ave, Mount Vernon, OH 43050-2628 2006-12-21
1235200429 Tod W Jones Optometrist 1616 N 18th St Ste 104, Mount Vernon, WA 98273-2600 2006-11-11
1609957885 Mount Vernon Eyecare Associates, LLC Optometrist 104 S Hickory, Mount Vernon, MO 65712 2006-10-17
1043304710 Percav, Inc Optometrist 112 S 42nd Street, Mount Vernon, IL 62864 2006-10-03
1538278445 Terry G. Cook Optometrist 4200 Ilberry Rd, Mount Vernon, IL 62864-6748 2006-08-30
1245348473 Richard Wayne York Optometrist 1684 Venture Dr, Suite A, Mount Vernon, OH 43050-8950 2006-08-28
Find all providers in MOUNT VERNON

Competitor

Search similar providers

City MOUNT VERNON
Zip Code 62864

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Dataset Information

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.

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