NPIMap

Organization Active NPI

Raymond L. Alberts, M.D., P.C.

  • Ophthalmology Physician
  • Freeport, IL
National Provider Identifier
1083801690
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RAYMOND L. ALBERTS, M.D., P.C.
Practice address
1110 S Park Blvd
Freeport, IL 61032-4659
Phone
(815) 232-1105
Fax
(815) 232-3117
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Dr. Raymond L. Alberts, M.D.NPI 1285635722
Title
President
Phone
(815) 232-1105

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X IL
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X IL
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X IL Primary

Addresses

Primary practice location

1110 S Park Blvd
Freeport, IL 61032-4659

Mailing address

1110 S Park Blvd
Freeport, IL 61032-4659
Phone (815) 232-1105

Other identifiers 3

IdentifierTypeStateIssuer
1184682635OtherILNPI
1437134509OtherILNPI
1285635722OtherILNPI

Other names 1

  • Freeport Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

1110 S Park Blvd
Freeport, IL 61032
Phone (815) 232-1105

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1083801690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 S PARK BLVD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324659",
            "telephone_number": "815-232-1105",
            "fax_number": "815-232-3117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 S PARK BLVD",
            "city": "FREEPORT",
            "state": "IL",
            "postal_code": "610324659",
            "telephone_number": "815-232-1105",
            "fax_number": "815-232-3117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAYMOND L. ALBERTS, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "ALBERTS",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-232-1105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1184682635",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1437134509",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285635722",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Freeport Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Freeport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.

Verify at the official NPI Registry.