BNL Eyecare Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007201 Issued in IL

Legal business name

BNL EYECARE INC.

Practice address

2225 W Market St
Vision Center
Bloomington, IL 61705-5014

Phone

(309) 829-0636

NPI assigned

Apr 6, 2011

Organization subpart

No

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

Authorized official

Name

Drew Klein, O.D.

Title

President

Phone

(847) 962-1877

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1302048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302048000000",
    "number": "1285923680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 W MARKET ST",
            "address_2": "VISION CENTER",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055014",
            "telephone_number": "309-829-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 W MARKET ST",
            "address_2": "VISION CENTER",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617055014",
            "telephone_number": "309-829-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BNL EYECARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-06",
        "last_updated": "2011-04-06",
        "status": "A",
        "authorized_official_last_name": "KLEIN",
        "authorized_official_first_name": "DREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-962-1877",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007201",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Timothy J. Bly, D.C.
• Kelly Blythe-Teats
• Erik Paul Boe, M.D.
• Tayaunna Boehm-Binion
• Louis Boelen, M.D.
• Chasity Timeka Bogay, M.S., CCC-SLP
• Michelle Lynn Bognanno, M.A., CCC-SLP/L

• Optometrist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2011; 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.