Organization Active NPI

DRS. Sehy and Jones Optometrists, P.C.

  • Optometrist
  • Effingham, IL
National Provider Identifier
1003026204
Registry record updated Mar 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DRS. SEHY AND JONES OPTOMETRISTS, P.C.
Practice address
303 N. Keller Drive
Effingham, IL 62401
Phone
(217) 342-2672
Fax
(217) 342-2681
NPI assigned
May 23, 2007
Last updated
Mar 29, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Robert Wayne Jones Jr., O.D.NPI 1588728257
Title
President
Phone
(217) 342-2672

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 060001914 IL
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

303 N. Keller Drive
Effingham, IL 62401

Mailing address

303 N. Keller Drive
Effingham, IL 62401
Phone (217) 342-2672

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080430000274 IL Part B Supplier - Clinic/Group Practice 0941388722 Receives reassigned benefits from 9 practitioners
Practice locations: Effingham, IL; Taylorville, IL; Pana, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2068650Doctors Sehy and Jones, Optometrists P C303 N Keller Dr, Effingham, IL 62401Certificate of waiverNov 6, 2027

National Provider Directory

National Provider Directory

Locations

118 W Washington Ave
Effingham, IL 62401
Phone (217) 342-2367

104 Oak St
Pana, IL 62557
Phone (217) 562-2512

108 S Main St
Taylorville, IL 62568
Phone (217) 287-2020

904 W Springfield Rd
Taylorville, IL 62568
Phone (217) 287-2020

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269820800000",
    "number": "1003026204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N. KELLER DRIVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-2672",
            "fax_number": "217-342-2681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N. KELLER DRIVE",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "62401",
            "telephone_number": "217-342-2672",
            "fax_number": "217-342-2681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS. SEHY AND JONES OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2010-03-29",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WAYNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-342-2672",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060001914",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Effingham, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.