Organization Active NPI

Midwest Vision Care of Illinois LLC

  • Optometrist
  • Columbia, IL
National Provider Identifier
1144318403
Registry record updated Apr 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MIDWEST VISION CARE OF ILLINOIS LLC
Practice address
915 N Main St Ste 1
Columbia, IL 62236-1136
Phone
(618) 281-2400
Fax
(618) 281-2402
NPI assigned
Oct 11, 2006
Last updated
Apr 21, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2021

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

Authorized official

Name
Rachel Margaret Foster, ODNPI 1235493198
Title
Optometrist/Owner
Phone
(618) 281-2400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

915 N Main St Ste 1
Columbia, IL 62236-1136

Mailing address

915 N. Main St
Ste 1
Columbia, IL 62236-1158
Phone (618) 281-2400

Other names 1

  • Midwest Vision Care LLC Former legal business name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.midwestvisioncare.com

National Provider Directory

National Provider Directory

Locations

915 N Main St
Ste 1
Columbia, IL 62236
Phone (618) 281-2400

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618963200000",
    "number": "1144318403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N. MAIN ST",
            "address_2": "STE 1",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361158",
            "telephone_number": "618-281-2400",
            "fax_number": "618-281-2402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 N MAIN ST STE 1",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361136",
            "telephone_number": "618-281-2400",
            "fax_number": "618-281-2402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST VISION CARE OF ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-04-21",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "FOSTER",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_middle_name": "MARGARET",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "618-281-2400",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.midwestvisioncare.com",
            "affiliation": "N",
            "address_1": "915 N Main St Ste 1",
            "city": "Columbia",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622361136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Midwest Vision Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Midwest Vision Care LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2021; 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.