Mulford Eye Care LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MULFORD EYE CARE LLC

Practice address

4301 N Mulford Rd
Loves Park, IL 61111

Phone

(815) 282-5500

Fax

(815) 633-2305

NPI assigned

Oct 23, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Richard Evans Anderson, OD OPTOMETRIST

Title

Member

Phone

(815) 282-5500

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

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

• Roger H Hill, OD

  • Optometrist
  • Loves Park, IL
  • NPI 1235212275
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1215010236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MULFORD RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-282-5500",
            "fax_number": "815-633-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MULFORD RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "61111",
            "telephone_number": "815-282-5500",
            "fax_number": "815-633-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULFORD EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-23",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "EVANS",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "815-282-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0010184023",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamela A Moore
• Laura M. Moran, C.R.N.A.
• Christina Morris, LCSW
• John Herrmann Mueller, MD
• Malynnda A. Mueller, C.R.N.A.
• Kinda Muslemani, M.D.
• Nahd SC
• Aliya S. Naseer, MD
• Mary Naugle, LCPC, LCSW
• Momin Nauman, MBBS

• Optometrist in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.