Mid-State Eye Partners Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MID-STATE EYE PARTNERS INC

Practice address

2442 N Route 121
Decatur, IL 62526-9461

Phone

(217) 233-3101

NPI assigned

May 15, 2020

Last updated

Jun 6, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Bradley Stewart Grant, ODNPI 1386836518

Title

Optometrist

Phone

(217) 774-4422

Specialties & licenses 1

Addresses

Tax ID family

Mid-State Eye Partners Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mid-State Eye Partners Inc

  • Optometrist
  • Clinton, IL
  • NPI 1396201836
  NPD tax ID

Locations

Practitioners 1

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.

• Bradley Stewart Grant, O.D.

  • Optometrist
  • Bloomington, IL
  • NPI 1386836518
  NPD (past) Authorized official

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

{
    "created_epoch": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591401600000",
    "number": "1023630787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2442 N ROUTE 121",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269461",
            "telephone_number": "217-233-3101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2442 N ROUTE 121",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625269461",
            "telephone_number": "217-233-3101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID-STATE EYE PARTNERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-06-06",
        "certification_date": "2020-06-06",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "STEWART",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "217-774-4422",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Rachel Merideth, DPT
• Ashley Marie Merris
• Katlyn Merris
• Kendra Merris, RBT
• Emersyn Michalek
• Midwest Center for Plastic Surgery
• Midwest Eye Associates LLC
• Midwest Healthcare Center SC
• Midwest Internal Medicine SC
• Midwest Neurology Associates, S.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2020; 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.