Superior Performance Eye Care Services, Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009104 Issued in IL

Legal business name

SUPERIOR PERFORMANCE EYE CARE SERVICES, INC

Practice address

195 S 36TH St
Quincy, IL 62301-5801

Phone

(217) 224-7732

NPI assigned

Jan 4, 2010

Organization subpart

No

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

Authorized official

Name

Daniel Leonard Hayden, O.D.NPI 1821047994

Title

Owner

Phone

(217) 224-7732

Specialties & licenses 1

Addresses

Other names 1

• SPECS Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Daniel L Hayden, O.D.

  • Optometrist
  • Quincy, IL
  • NPI 1821047994
  Medicare reassignment Care Compare group Authorized official
• Sara Marie Siebert, OD

  • Optometrist
  • Quincy, IL
  • NPI 1841778115
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541116800000",
    "number": "1003146705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 S 36TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015801",
            "telephone_number": "217-224-7732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 S 36TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015801",
            "telephone_number": "217-224-7732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR PERFORMANCE EYE CARE SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-04",
        "last_updated": "2018-11-02",
        "status": "A",
        "authorized_official_last_name": "HAYDEN",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-224-7732",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SPECS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas N Sullivant, MD
• Ashley Summers, RSA
• Sunset Home
• Sunset Home
• Sunset Home
• Conward Matthew Swift II, PHARMD, MBA
• Hollis Stephen Swink, MA, ICCS, LCPC, CAAD
• Sycamore Healthcare Centre
• Sycamore Operator LLC
• Koretta G Sykes

• Optometrist in Quincy, IL
• Providers in Quincy, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.