NPIMap

Organization Active NPI

Vep Il Optometric LLC

  • Optometrist
  • Fairview Heights, IL
National Provider Identifier
1063201788
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VEP IL OPTOMETRIC LLC
Practice address
10900 A Lincoln Trail
Fairview Heights, IL 62208
Phone
(309) 808-3112
NPI assigned
May 1, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Authorized official

Name
Priscilla Pappas
Title
Optometrist
Phone
(217) 877-7900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

10900 A Lincoln Trail
Fairview Heights, IL 62208

Mailing address

811 S Main Street 7TH Floor Attn: 800148
Kansas City, MO 64180-0148

Other names 1

  • All About Eyes Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Vep Il Optometric LLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

10900 Lincoln Trl
Ste A
Fairview Heights, IL 62208
Phone (309) 808-3112

811 S Main St 7th
Fl ATTN 800148
Kansas City, MO 64180

Practitioners & affiliated clinicians

Practitioners 1

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": "1746057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746057600000",
    "number": "1063201788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S MAIN STREET 7TH FLOOR ATTN: 800148",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641800148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10900 A LINCOLN TRAIL",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "62208",
            "telephone_number": "309-808-3112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VEP IL OPTOMETRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-01",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A",
        "authorized_official_last_name": "PAPPAS",
        "authorized_official_first_name": "PRISCILLA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "217-877-7900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "All About Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.