William Yang (NPI# 1790979011, PAC ID# 9638227614) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1790979011 |
| PAC ID by PECOS | 9638227614 |
| Professional Enrollment ID | I20110126000598 |
| Full Name | William Yang |
| Organization Legal Name | PRAIRIE EYE CENTER, LTD |
| Address |
2020 W Iles Ave Springfield IL 62704-4174 |
| Phone Number | 2176983030 |
| Gender | M |
| Medical School | UNIVERSITY OF WISCONSIN MEDICAL SCHOOL |
| Graduation Year | 2004 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 6507779824 |
| Number of Group Practice Members | 18 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 140053 | ST JOHNS HOSPITAL |
| 140058 | PASSAVANT AREA HOSPITAL |
| 141332 | HILLSBORO AREA HOSPITAL |
| 140148 | MEMORIAL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 2020 W Iles Ave, Springfield, IL 62704-4174 | 2176983030 | PRAIRIE EYE CENTER, LTD |
| Organization Legal Name | PRAIRIE EYE CENTER, LTD |
| Physicians | 20 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaylyn Marie Nickelson | Optometry | Prairie Eye Center, Ltd | 518 Broadway St, Lincoln, IL 62656-2706 |
| Monica Ryan | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Brian M Moore | Optometry | Prairie Eye Center, Ltd | 200 E Mechanic, Hillsboro, IL 62049-2007 |
| Jennifer M Waller | Optometry | Prairie Eye Center, Ltd | 130 W Ctr St, Girard, IL 62640-1222 |
| Emily Marie Beyer | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Anne P Rowland | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Chelsey M Moore | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Tyson J Herrmann | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Mohamed G Gendy | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Fahad Habib Khan | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Street Address |
2020 W ILES AVE |
| City | SPRINGFIELD |
| State | IL |
| Zip | 62704-4174 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Monica Ryan | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Emily Marie Beyer | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Anne P Rowland | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Chelsey M Moore | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Tyson J Herrmann | Optometry | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Mohamed G Gendy | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Fahad Habib Khan | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Phillip D Alward | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Ankur Shah | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Justin Johnsen | Ophthalmology | Prairie Eye Center, Ltd | 2020 W Iles Ave, Springfield, IL 62704-4174 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Victoria L Blount | Audiologist | Siu Physicians and Surgeons, Inc | 2659 W Lawrence Ave, Springfield, IL 62704-1115 |
| Robert G Calcaterra | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Patrick Macauley | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Nicholas A Silveri | Chiropractic | Silveri Chiropractic Inc | 1000 S Durkin Dr, Springfield, IL 62704-1318 |
| Stephen E Wallace | Pediatric Medicine | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Barbara L. Mackey-bruzetti | Clinical Social Worker | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Tracy A. Purseglove | Nurse Practitioner | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Misty Phillips | Pediatric Medicine | Springfield Clinic LLP | 2532 Farragut Dr, Springfield, IL 62704-1433 |
| Winona M Van Houten | Optometry | 2351 W Monroe St, Springfield, IL 62704-1452 | |
| Ryan Lee Schallenberg | Physical Therapy | Athletic and Therapeutic Institute of Bourbonnais, LLC | 2325 W Monroe St, Springfield, IL 62704-1452 |
| Find all physicians in zip 62704 | |||
| City | SPRINGFIELD |
| Zip Code | 62704 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | SPRINGFIELD + OPHTHALMOLOGY |
Please comment or provide details below to improve the information on William Yang.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.