Premier Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PREMIER VISION CENTER LLC

Practice address

6900 Preston Dr Ste a
Springfield, IL 62711-4309

Phone

(217) 697-8741

NPI assigned

Jun 25, 2020

Organization subpart

No

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

Authorized official

Name

Alexander Kane, ODNPI 1336766377

Title

Owner

Phone

(217) 697-8741

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Alexander Remington Kane, OD

  • Optometrist
  • Springfield, IL
  • NPI 1336766377
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724976000000",
    "number": "1053938092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6900 PRESTON DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627114309",
            "telephone_number": "217-697-8741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 PRESTON DR STE A",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627114309",
            "telephone_number": "217-697-8741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-25",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A",
        "authorized_official_last_name": "KANE",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-697-8741",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vidhya Prakash, M.D.
• Pinnamaneni Prasad, MD
• Sidarrth Prasad, MBBS
• Sudha G Prasad, M.D.C.S.
• Christina Prefountain, RNFA
• Premiere Physical Therapy & Sport Rehabilitation
• Premiere Physical Therapy & Sports Injury Rehabilitation LLC
• Jessi R. Prentice, FNP-BC
• Scott E. Preusen, M.D.
• Kirk Alex Price, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2024; 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.