Organization Active NPI

C-U Eyecare LLC

  • Optometrist
  • Champaign, IL
National Provider Identifier
1144679853
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04600839 Issued in IL
Legal business name
C-U EYECARE LLC
Practice address
2008 Round Barn Rd
Champaign, IL 61821-3623
Phone
(217) 355-6464
Fax
(217) 355-6476
NPI assigned
Jun 3, 2016
Last updated
Jul 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Authorized official

Name
Lisa Kay Heckman, O.D.NPI 1538285598
Title
Manager
Phone
(217) 355-6464

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008936 IL
Optometrist 152W00000X 04600839 IL Primary

Addresses

Primary practice location

2008 Round Barn Rd
Champaign, IL 61821-3623

Mailing address

2008 Round Barn Rd
Champaign, IL 61821-3623
Phone (217) 355-6464

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160826000549 IL Part B Supplier - Clinic/Group Practice 7012202252 Receives reassigned benefits from 2 practitioners
Practice locations: Champaign, IL

National Provider Directory

National Provider Directory

Locations

2008 Round Barn Rd
Champaign, IL 61821
Phone (217) 355-6464

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1464912000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689120000000",
    "number": "1144679853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 ROUND BARN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213623",
            "telephone_number": "217-355-6464",
            "fax_number": "217-355-6476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 ROUND BARN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618213623",
            "telephone_number": "217-355-6464",
            "fax_number": "217-355-6476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C-U EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-03",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A",
        "authorized_official_last_name": "HECKMAN",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "217-355-6464",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008936",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "04600839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; 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.