Merriman Optometry, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MERRIMAN OPTOMETRY, LTD

Doing business as

Eyedeal Eyecare

Practice address

103 Transcraft Dr
Anna, IL 62906-2114

Phone

(618) 833-3777

Fax

(618) 614-1414

NPI assigned

Nov 3, 2022

Last updated

Dec 7, 2022By 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. Celisha A Merriman, ODNPI 1841632874

Title

Owner

Phone

(618) 697-4673

Specialties & licenses 1

Addresses

Other names 1

• Eyedeal Eyecare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Celisha Ann Merriman, O.D

  • Optometrist
  • Anna, IL
  • NPI 1841632874
  Medicare reassignment Care Compare group NPD Authorized official
• Jessie Crabtree, OD

  • Optometrist
  • Marion, IL
  • NPI 1669951380
  Medicare reassignment Care Compare group NPD
• Paul Christopher Jacobs, O.D.

  • Corneal and Contact Management Optometrist
  • Carbondale, IL
  • NPI 1255326500
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1667433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1033826524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 TRANSCRAFT DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062114",
            "telephone_number": "618-833-3777",
            "fax_number": "618-614-1414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 TRANSCRAFT DR",
            "city": "ANNA",
            "state": "IL",
            "postal_code": "629062114",
            "telephone_number": "618-833-3777",
            "fax_number": "618-614-1414"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N Beadle Dr",
            "address_purpose": "LOCATION",
            "city": "Carbondale",
            "state": "IL",
            "postal_code": "629011150",
            "country_code": "US",
            "telephone_number": "618-529-4817",
            "fax_number": "618-351-9024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERRIMAN OPTOMETRY, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-03",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "MERRIMAN",
        "authorized_official_first_name": "CELISHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-697-4673",
        "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": [
        {
            "organization_name": "Eyedeal Eyecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eyedeal Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dawn McCabe, LPN
• Marcy McFadden
• Cristen Mae McKibben, FNP-C
• Sarah McLaughlin, BA
• Memorial Hospital of Carbondale
• Celisha Ann Merriman, O.D
• Ginger Lee Meyer, LCSW
• Amy M Miller, BA, SSP, NCSP
• Josiah Miller, RN
• William W Mings, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.