NPIMap

Organization Active NPI

JFJ Eyecare LTD

Doing business as Quantum Vision Centers

  • Optometrist
  • Mattoon, IL
National Provider Identifier
1245627173
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
036104178 Issued in IL
Legal business name
JFJ EYECARE LTD
Doing business as
Quantum Vision Centers
Practice address
220 Richmond Ave E
Mattoon, IL 61938-4652
Phone
(636) 200-4393
Fax
(217) 234-3930
NPI assigned
Apr 17, 2015
Last updated
Jun 5, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Authorized official

Name
Dr. Bart Aaron Jones, MDNPI 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
Optometrist 152W00000X 036104178 IL Primary

Addresses

Primary practice location

220 Richmond Ave E
Mattoon, IL 61938-4652

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

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": "1429228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559692800000",
    "number": "1245627173",
    "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": "220 RICHMOND AVE E",
            "city": "MATTOON",
            "state": "IL",
            "postal_code": "619384652",
            "telephone_number": "636-200-4393",
            "fax_number": "217-234-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFJ EYECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-17",
        "last_updated": "2019-06-05",
        "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_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_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"
        },
        {
            "organization_name": "Quantum Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mattoon, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; 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.