NPIMap

Organization Active NPI

Bond Eye Associates, SC

  • Ophthalmology Physician
  • Pekin, IL
National Provider Identifier
1285725903
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
BOND EYE ASSOCIATES, SC
Practice address
725 S 14TH St
Pekin, IL 61554-5073
Phone
(309) 353-6660
NPI assigned
Sep 27, 2006
Last updated
Oct 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Authorized official

Name
Stephanie McCartney
Title
Practice Administrator
Phone
(309) 642-6491

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

725 S 14TH St
Pekin, IL 61554-5073

Mailing address

725 S 14TH St
Pekin, IL 61554-5073
Phone (309) 353-6660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040504000574 IL Part B Supplier - Clinic/Group Practice 5698763100 Receives reassigned benefits from 8 practitioners
Practice locations: Bloomington, IL; Canton, IL; Pekin, IL; Peoria, IL
O20040512000607 IL Part B Supplier - Clinic/Group Practice 5698763100 Receives reassigned benefits from 3 practitioners
Practice locations: Peoria, IL; Pekin, IL; Bloomington, IL; Canton, IL

National Provider Directory

National Provider Directory

Locations

1228 Towanda Ave
Bloomington, IL 61701
Phone (309) 662-3937

410 N Main St
Bloomington, IL 61701
Phone (309) 828-7723

713 Iaa Dr
Bloomington, IL 61701
Phone (309) 662-3937

162 E Chestnut St
#12
Canton, IL 61520
Phone (309) 647-3937

2 N Main St
Canton, IL 61520
Phone (309) 647-3937

45 E Side Sq
Canton, IL 61520
Phone (309) 647-3937

110 N Main St
Eureka, IL 61530
Phone (309) 467-2610

725 S 14th St
Pekin, IL 61554
Phone (309) 353-1579

4900 N Glen Park Place Rd
Peoria, IL 61614
Phone (309) 353-6660

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601942400000",
    "number": "1285725903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 S 14TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545073",
            "telephone_number": "309-353-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S 14TH ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615545073",
            "telephone_number": "309-353-6660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOND EYE ASSOCIATES, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A",
        "authorized_official_last_name": "MCCARTNEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "309-642-6491"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pekin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.