Eye MDS of Quincy SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE MDS OF QUINCY SC

Practice address

709 Broadway St
Quincy, IL 62301-2716

Phone

(217) 224-2020

Fax

(217) 228-1420

NPI assigned

Aug 22, 2006

Last updated

Apr 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

James D Hayashi, M.D.NPI 1831133222

Title

President

Phone

(217) 224-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• James D Hayashi, MD

  • Ophthalmology Physician
  • Quincy, IL
  • NPI 1831133222
  NPD (past) Authorized official
• Sathy Visakan Bhavan, MD

  • Ophthalmology Physician
  • Pasadena, CA
  • NPI 1457321903
  NPD (past)
• David A. Glaser, MD

  • Retina Specialist (Ophthalmology) Physician
  • Florissant, MO
  • NPI 1891807137
  NPD (past)

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208304000000",
    "number": "1114033958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012716",
            "telephone_number": "217-224-2020",
            "fax_number": "217-228-1420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623012716",
            "telephone_number": "217-224-2020",
            "fax_number": "217-228-1420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE MDS OF QUINCY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2008-04-16",
        "status": "A",
        "authorized_official_last_name": "HAYASHI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-224-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "DF0748",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rajesh Kannan Ethiraj, M.D.,
• Dan H Evans, M.D.
• David Steven Evans, CADC
• Laura A. Evans, PTA
• Regan R Ewert, RN
• Annslee Fahy, FCS-DIETETICS
• Fairview Heights Medical Group SC (Pediatric Cardiology of Illinois)
• Darius Faison
• Family Eyecare and Contact Lens
• Family Eyecare and Contact Lens (Kirk D Kvitle)

• Ophthalmology Physician in Quincy, IL
• Providers in Quincy, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; 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.