Organization Active NPI

2020 Vision- Marion LLC

  • Eyewear Supplier
  • Marion, IL
National Provider Identifier
1295243533
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
2020 VISION- MARION LLC
Practice address
2700 W Deyoung St Ste E
Marion, IL 62959-4943
Phone
(618) 998-2020
Fax
(618) 998-9199
NPI assigned
Jan 22, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Dr. Jane Herman, OD
Title
Doctor
Phone
(618) 998-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

2700 W Deyoung St Ste E
Marion, IL 62959-4943

Mailing address

2700 W Deyoung St Ste E
Marion, IL 62959-4950
Phone (618) 998-2020

National Provider Directory

National Provider Directory

Locations

2700 W Deyoung St
Ste E
Marion, IL 62959
Phone (618) 998-1900

NPI Registry JSON

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

{
    "created_epoch": "1516579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1295243533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 W DEYOUNG ST STE E",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594950",
            "telephone_number": "618-998-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 W DEYOUNG ST STE E",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629594943",
            "telephone_number": "618-998-2020",
            "fax_number": "618-998-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2020 VISION- MARION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-22",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HERMAN",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "618-998-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marion, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.