Center for Sight Central Il I SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008823 Issued in IL

Legal business name

CENTER FOR SIGHT CENTRAL IL I SC

Practice address

304 W Hay St
Suite 311
Decatur, IL 62526-6328

Phone

(217) 877-5050

Fax

(217) 877-9711

NPI assigned

Feb 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Phillip D Alward, M.D.

Title

Owner

Phone

(217) 877-5050

Specialties & licenses 2

Addresses

Other identifiers 4

Locations

Practitioners 5

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

• Jamison T Boyd, O.D.

  • Optometrist
  • Tuscola, IL
  • NPI 1326008137
  NPD (past)
• Michael F. Stauder, O.D.

  • Optometrist
  • Decatur, IL
  • NPI 1053462739
  NPD (past)
• Michael J Glanzer, OD

  • Optometrist
  • Vancouver, WA
  • NPI 1932216272
  NPD (past)
• Michael Steven Landa, M.D.

  • Ophthalmology Physician
  • Savannah, GA
  • NPI 1902846223
  NPD (past)
• Henry G Schneider III, M.D.

  • Ophthalmology Physician
  • Warner Robins, GA
  • NPI 1083618557
  NPD (past)

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253664000000",
    "number": "1174667448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 311",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-877-5050",
            "fax_number": "217-877-9711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 W HAY ST",
            "address_2": "SUITE 311",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266328",
            "telephone_number": "217-877-5050",
            "fax_number": "217-877-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SIGHT CENTRAL IL I SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-19",
        "last_updated": "2009-09-23",
        "status": "A",
        "authorized_official_last_name": "ALWARD",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-877-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008823",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036054803",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036054803",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008823",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "05815176",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "180022789",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cathy Ahlrich
• Patrick J Cavanagh, M.D.
• Dena Cearlock
• Center for Cosmetic Medicine, LTD.
• Center for Neurobehavioral Disorders, LLC
• Center for Sight of Central Illinois SC
• Central Illinois Associates LTD
• Central Illinois Emergency Physicians, LLP
• Central Illinois Health Associates, Inc
• Central Illinois Surgery Center, LLC

• Optometrist in Decatur, IL
• Providers in Decatur, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2009; 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.