Organization Active NPI

Illinois School for the Visually Impaired

  • Local Education Agency (LEA)
  • Jacksonville, IL
National Provider Identifier
1033307145
Registry record updated Oct 15, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Legal business name
ILLINOIS SCHOOL FOR THE VISUALLY IMPAIRED
Practice address
658 E State St
Jacksonville, IL 62650-2130
Phone
(217) 479-4400
NPI assigned
Oct 15, 2007
Organization subpart
Yes
Parent organization
ILLINOIS DEPARTMENT OF HUMAN SERVICESAs reported in NPPES

Authorized official

NPPES NPI Registry
Name
Joan Forney
Title
Acting Superintendent
Phone
(217) 479-4400

Practitioners 1

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

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
14D2216262Illinois School for the Visually Impaired658 E State St, Jacksonville, IL 62650Certificate of waiverMar 9, 2027

National Provider Directory

National Provider Directory
Part of
Howe Center - Unit 4264

Locations

658 E State St
Jacksonville, IL 62650
Phone (217) 470-4400

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary

Addresses

NPPES NPI Registry

Primary practice location

658 E State St
Jacksonville, IL 62650-2130

Mailing address

400 W Lawrence Ave
Springfield, IL 62704-2625
Phone (217) 524-4089

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
376002057004MedicaidIL

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2007.

{
    "created_epoch": "1192406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1033307145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W LAWRENCE AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627042625",
            "telephone_number": "217-524-4089",
            "fax_number": "217-524-2352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E STATE ST",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502130",
            "telephone_number": "217-479-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS SCHOOL FOR THE VISUALLY IMPAIRED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ILLINOIS DEPARTMENT OF HUMAN SERVICES",
        "enumeration_date": "2007-10-15",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "FORNEY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "ACTING SUPERINTENDENT",
        "authorized_official_telephone_number": "217-479-4400"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "376002057004",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.