Organization Active NPI

Eyecare Management, LLC

Doing business as Quantum Vision Centers

  • Optometrist
  • Belleville, IL
National Provider Identifier
1215335385
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
036104178 Issued in IL
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, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Bart Aaron Jones, M.D.NPI 1447256797
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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036104178OtherILLICENSE

Other names 1

  • Quantum Vision Centers Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2131365Quantum Vision Centers4900 W Main St, Belleville, IL 62226Certificate of waiverMay 25, 2027

National Provider Directory

National Provider Directory

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": "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.

Verify at the official NPI Registry.