Site Vision Center, PC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

0326000001 Issued in IL

Legal business name

SITE VISION CENTER, PC

Practice address

3236 Broadway St
Quincy, IL 62301-3712

Phone

(217) 228-2060

Fax

(217) 228-2066

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Raymond John Gianfriddo, O.D.NPI 1760425631

Title

Vice President

Phone

(217) 228-2060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Tax ID family

Site Vision Center PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Site Vision Center

  • Optometrist
  • Quincy, IL
  • NPI 1346491867
  NPD tax ID

Locations

Practitioners 4

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

• Raymond John Gianfriddo, O.D.

  • Optometrist
  • Quincy, IL
  • NPI 1760425631
  Medicare reassignment Care Compare group NPD Authorized official
• Joseph Gianfriddo, O.D.

  • Optometrist
  • Quincy, IL
  • NPI 1497161178
  Medicare reassignment Care Compare group NPD
• Matthew Stephen Buczko, O.D.

  • Optometrist
  • Canton, IL
  • NPI 1245271840
  NPD (past)
• Erin Marie Wu, O.D.

  • Optometrist
  • Pontiac, MI
  • NPI 1003128877
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373414400000",
    "number": "1104864115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3236 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013712",
            "telephone_number": "217-228-2060",
            "fax_number": "217-228-2066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3236 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013712",
            "telephone_number": "217-228-2060",
            "fax_number": "217-228-2066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SITE VISION CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2013-07-10",
        "status": "A",
        "authorized_official_last_name": "GIANFRIDDO",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "217-228-2060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "0326000001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison J Simmons, OT
• Linda K. Simons, CFM
• Andrea Kay Sims, BA
• Albert G. Singh, M.D.
• Site Vision Center
• Siu Healthcare
• Siuphysicians & Surgeons, Inc.
• Smallwood Enterprises Inc.
• Michael Smart, LCSW
• Abbas Smiley, MD, PHD

• Durable Medical Equipment & Medical Supplies in Quincy, IL
• Providers in Quincy, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.