Organization Active NPI

Center for Sight & Hearing

  • Audiologist
  • Rockford, IL
National Provider Identifier
1053487942
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147000948 Issued in IL
Legal business name
CENTER FOR SIGHT & HEARING
Practice address
8038 Macintosh LN
Rockford, IL 61107-5300
Phone
(815) 332-6800
Fax
(815) 332-6810
NPI assigned
Nov 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Authorized official

Name
Maureen Koch
Title
President
Phone
(815) 332-6822

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046008174 IL
AudiologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 231H00000X 147000948 IL Primary

Addresses

Primary practice location

8038 Macintosh LN
Rockford, IL 61107-5300

Mailing address

PO Box 5944
Rockford, IL 61125-0944
Phone (815) 332-6800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070115000019 IL Part B Supplier - Clinic/Group Practice 9032119193 Receives reassigned benefits from 5 practitioners
Practice locations: Rockford, IL

National Provider Directory

National Provider Directory
Tax ID family
Center for Sight and Hearing2 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.

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665964800000",
    "number": "1053487942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5944",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611250944",
            "telephone_number": "815-332-6800",
            "fax_number": "815-332-6810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 MACINTOSH LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075300",
            "telephone_number": "815-332-6800",
            "fax_number": "815-332-6810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SIGHT & HEARING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2022-10-17",
        "certification_date": "2022-05-20",
        "status": "A",
        "authorized_official_last_name": "KOCH",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-332-6822"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008174",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147000948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.