Active NPI
Erin Lee Searfoss, OD
- Optometrist
- Collinsville, IL
National Provider Identifier
1053421040
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 1040 Collinsville Crossing Blvd
Collinsville, IL 62234-1882 - Phone
- (618) 343-1508
- Fax
- (618) 343-2083
- NPI assigned
- Aug 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary |
Addresses
Primary practice location
1040 Collinsville Crossing Blvd
Collinsville, IL 62234-1882
Mailing address
5941 Southcrest Way
Saint Louis, MO 63129-2379
Phone (314) 578-4301
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046.009933 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nu-Crown, LLC | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1053421040",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5941 SOUTHCREST WAY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631292379",
"telephone_number": "314-578-4301",
"fax_number": "618-343-2083"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1040 COLLINSVILLE CROSSING BLVD",
"city": "COLLINSVILLE",
"state": "IL",
"postal_code": "622341882",
"telephone_number": "618-343-1508",
"fax_number": "618-343-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEARFOSS",
"first_name": "ERIN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Collinsville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.