Southern Illinois Eye Care, PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

SOUTHERN ILLINOIS EYE CARE, PC

Doing business as

Marissa Eyecare

Practice address

521 N Borders Ave
Marissa, IL 62257-1117

Phone

(618) 295-1600

NPI assigned

Jan 24, 2007

Last updated

Dec 13, 2007By 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. Christine Lochhead, OD

Title

Optometrist

Phone

(618) 826-4521

Specialties & licenses 1

Addresses

Other names 1

• Marissa Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Southern Illinois Eye Care PLLC

  dba Pinckneyville Eyecare

  • Optometrist
  • Pinckneyville, IL
  • NPI 1053466045

  O20050105000352

  Same enrollment
• Southern Illinois Eyecare PLLC

  dba Southern Illinois Eye Care

  • Optometrist
  • Sparta, IL
  • NPI 1144375866

  O20050105000352

  Same enrollment
• Southern Illinois Eyecare PLLC

  dba DuQuoin Eyecare

  • Optometrist
  • Du Quoin, IL
  • NPI 1366582652

  O20050105000352

  Same enrollment
• Southern Illinois Eyecare PLLC

  dba Chester Eyecare

  • Optometrist
  • Chester, IL
  • NPI 1902951536

  O20050105000352

  Same enrollment

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1033264791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 N BORDERS AVE",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622571117",
            "telephone_number": "618-295-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N BORDERS AVE",
            "city": "MARISSA",
            "state": "IL",
            "postal_code": "622571117",
            "telephone_number": "618-295-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN ILLINOIS EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "LOCHHEAD",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "618-826-4521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Marissa Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marissa Community Unit School District 40
• Marissa Food Mart (DBA Marissa Discount Pharmacy)
• Samantha Ramicone
• Megan Schmersahl
• Brittany M Segelhorst
• Southern Illinois Spine & Joint Center
• Southern Illinois Spine & Joint Center of Marissa LLC
• Sparta Community Hospital D/B/a Quality Healthcare Clinics

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.