Organization Active NPI

Michael Murphy, OD Vision Care Associates, LTD

  • Optometrist
  • Swansea, IL
National Provider Identifier
1083897706
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007817 Issued in IL
Legal business name
MICHAEL MURPHY, OD VISION CARE ASSOCIATES, LTD
Practice address
4933 Benchmark Centre Dr
Suite D
Swansea, IL 62226-8927
Phone
(618) 628-3939
Fax
(618) 628-3959
NPI assigned
Dec 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Authorized official

Name
Dr. George Michael Murphy, ODNPI 1467423566
Title
President
Phone
(618) 628-3939

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-007817 IL Primary

Addresses

Primary practice location

4933 Benchmark Centre Dr
Suite D
Swansea, IL 62226-8927

Mailing address

4933 Benchmark Centre Dr
Suite D
Swansea, IL 62226-8927
Phone (618) 628-3939

Other identifiers 2

IdentifierTypeStateIssuer
046-007817MedicaidIL
1467423566OtherINDIVIDUAL NPI

Other names 1

  • Vision Care Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060119000713 IL Part B Supplier - Clinic/Group Practice 5890719603 Receives reassigned benefits from 1 practitioner
Practice locations: Swansea, IL

National Provider Directory

National Provider Directory

Locations

4933 Benchmark Centre Dr
Swansea, IL 62226
Phone (618) 528-3939

4933 Benchmark Centre Dr
Ste D
Swansea, IL 62226
Phone (618) 528-3939

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": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197849600000",
    "number": "1083897706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4933 BENCHMARK CENTRE DR",
            "address_2": "SUITE D",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-628-3939",
            "fax_number": "618-628-3959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4933 BENCHMARK CENTRE DR",
            "address_2": "SUITE D",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622268927",
            "telephone_number": "618-628-3939",
            "fax_number": "618-628-3959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL MURPHY, OD VISION CARE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2007-12-17",
        "status": "A",
        "authorized_official_last_name": "MURPHY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-628-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046-007817",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1467423566",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2007; 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.