McDonough Eye Associates PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MCDONOUGH EYE ASSOCIATES PC

Practice address

505 E Grant St
Ste 206
Macomb, IL 61455-3373

Phone

(309) 836-3937

Fax

(309) 833-1894

NPI assigned

Jun 9, 2005

Organization subpart

No

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

Authorized official

Name

Jill M Brody, M.D.NPI 1568510899

Title

President

Phone

(309) 836-3937

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Jill Marie Brody, M.D.

  • Ophthalmology Physician
  • Macomb, IL
  • NPI 1568510899

  O20100930090974

  Same enrollment

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Jill Marie Brody, M.D.

  • Ophthalmology Physician
  • Macomb, IL
  • NPI 1568510899
  Medicare reassignment Care Compare group NPD Authorized official
• Timothy Lee Williams, O.D.

  • Optometrist
  • Macomb, IL
  • NPI 1336297662
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1144224924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "STE 206",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553373",
            "telephone_number": "309-836-3937",
            "fax_number": "309-833-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E GRANT ST",
            "address_2": "STE 206",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614553373",
            "telephone_number": "309-836-3937",
            "fax_number": "309-833-1894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCDONOUGH EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "BRODY",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-836-3937",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• McDonough County Hospital District
• McDonough County Hospital District
• McDonough County Hospital District
• McDonough County Hospital District
• McDonough County Hospital District
• Janell McGruder, LCPC
• Kamie Dee McKee, NP-C
• Jack Lee McPherson, MD
• Medical Group of Macomb, LLC
• Xahara Alexandria Megod, MA, LCPC, R-DMT, CPT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; 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.