Organization Active NPI

Springfield Eye Consultants PC

  • Ophthalmology Physician
  • Carlinville, IL
National Provider Identifier
1205841897
Registry record updated Jul 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SPRINGFIELD EYE CONSULTANTS PC
Practice address
300 N Broad St
Carlinville, IL 62626-1304
Phone
(217) 544-2020
Fax
(217) 544-1519
NPI assigned
Jul 30, 2006
Last updated
Jul 25, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2008

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

Authorized official

Name
Dr. Robert Allen Lowenthal, M.D.
Title
Vice President
Phone
(217) 544-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

300 N Broad St
Carlinville, IL 62626-1304

Mailing address

301 N. 8TH St.
Suite 6B-201
Springfield, IL 62701-1064
Phone (217) 544-2020

Other identifiers 3

IdentifierTypeStateIssuer
DE7074OtherILRR MEDICARE GROUP #
08432151OtherILBC/BS
611236600OtherILACS

National Provider Directory

National Provider Directory

Locations

2442 N Route 121
Decatur, IL 62526
Phone (217) 529-3937

301 N 8th St
Ste 6B201
Springfield, IL 62701
Phone (217) 544-2020

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": "1154217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216944000000",
    "number": "1205841897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N. 8TH ST.",
            "address_2": "SUITE 6B-201",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627011064",
            "telephone_number": "217-544-2020",
            "fax_number": "217-544-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N BROAD ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626261304",
            "telephone_number": "217-544-2020",
            "fax_number": "217-544-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGFIELD EYE CONSULTANTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-30",
        "last_updated": "2008-07-25",
        "status": "A",
        "authorized_official_last_name": "LOWENTHAL",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "217-544-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "DE7074",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "08432151",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACS",
            "identifier": "611236600",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlinville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.