Organization Active NPI

Primary Eye Care Centers, PC

  • Optometrist
  • Rockford, IL
National Provider Identifier
1083661029
Registry record updated Jun 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PRIMARY EYE CARE CENTERS, PC
Practice address
1603 N Alpine Rd
St 121
Rockford, IL 61107-1439
Phone
(815) 209-9420
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2013

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

Authorized official

Name
Dr. William C Hillmann, OD
Title
President
Phone
(815) 209-9420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1603 N Alpine Rd
St 121
Rockford, IL 61107-1439

Mailing address

1603 N Alpine Rd
St 121
Rockford, IL 61107-1439
Phone (815) 209-9420

National Provider Directory

National Provider Directory

Locations

1 N Virginia St
Crystal Lake, IL 60014
Phone (815) 455-9393

4940 E State St
Ste 2
Rockford, IL 61108
Phone (815) 397-5959

1200 W State St
Rockford, IL 61102

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1371600000000",
    "number": "1083661029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1603 N ALPINE RD",
            "address_2": "ST 121",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071439",
            "telephone_number": "815-209-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1603 N ALPINE RD",
            "address_2": "ST 121",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611071439",
            "telephone_number": "815-209-9420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIMARY EYE CARE CENTERS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2013-06-19",
        "status": "A",
        "authorized_official_last_name": "HILLMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-209-9420",
        "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": []
}

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 Jun 19, 2013; 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.