NPIMap

Organization Active NPI

Behold Star Eyes Limited Liability Company Utang Ekpo Sole MBR

  • Optometrist
  • Danville, IL
National Provider Identifier
1003575762
Registry record updated Dec 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BEHOLD STAR EYES LIMITED LIABILITY COMPANY UTANG EKPO SOLE MBR
Practice address
3649 N Vermilion St
Danville, IL 61832-1118
Phone
(217) 431-4776
NPI assigned
Dec 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2021

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

Authorized official

Name
Utang Ekpo, ODNPI 1912389446
Title
Manager
Phone
(678) 799-0857

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3649 N Vermilion St
Danville, IL 61832-1118

Mailing address

9 Ridgeview St Apt 104
Danville, IL 61832-1436

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1639008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639008000000",
    "number": "1003575762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 RIDGEVIEW ST APT 104",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3649 N VERMILION ST",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321118",
            "telephone_number": "217-431-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEHOLD STAR EYES LIMITED LIABILITY COMPANY UTANG EKPO SOLE MBR",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-09",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A",
        "authorized_official_last_name": "EKPO",
        "authorized_official_first_name": "UTANG",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-799-0857",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.