Active NPI
Eyecare Management, LLC
Doing business as Quantum Vision Centers
- Optometrist
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 036104178
- Legal business name
- EYECARE MANAGEMENT, LLC
- Doing business as
- Quantum Vision Centers
- Practice address
- 4900 W Main St
Belleville, IL 62226-4725 - Phone
- (618) 235-2400
- Fax
- (618) 235-0900
- NPI assigned
- Dec 5, 2014
- Last updated
- Dec 5, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bart Aaron Jones, M.D.
- Title
- Owner
- Phone
- (618) 532-1082
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 036104178 | IL | Primary |
Addresses
Primary practice location
4900 W Main St
Belleville, IL 62226-4725
Mailing address
3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104178 | Other | IL | LICENSE |
Other names 1
- Quantum Vision Centers
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2131365 | Quantum Vision Centers | Certificate of waiver | May 25, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Ophthalmology Physician
- Swansea, IL
- NPI 1447256797
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1417737600000",
"number": "1215335385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3990 N ILLINOIS ST",
"city": "SWANSEA",
"state": "IL",
"postal_code": "622261919",
"telephone_number": "618-277-1130",
"fax_number": "618-277-4917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 W MAIN ST",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622264725",
"telephone_number": "618-235-2400",
"fax_number": "618-235-0900"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYECARE MANAGEMENT, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2014-12-05",
"last_updated": "2014-12-05",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "BART",
"authorized_official_middle_name": "AARON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-532-1082",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "036104178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "036104178",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Quantum Vision Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Belleville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.