Organization Active NPI

Victoria J. Willingham, O.D., P.C.

Doing business as EyeCare Plus

  • Optometrist
  • Sparta, IL
National Provider Identifier
1295990372
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007728 Issued in IL
Legal business name
VICTORIA J. WILLINGHAM, O.D., P.C.
Doing business as
EyeCare Plus
Practice address
520 E Broadway St
Sparta, IL 62286-1889
Phone
(618) 443-3111
Fax
(618) 443-2900
NPI assigned
Jul 28, 2008
Last updated
Jul 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Dr. Victoria Jean Willingham, O.D.
Title
Owner/President
Phone
(618) 443-3111

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-007728 IL Primary

Addresses

Primary practice location

520 E Broadway St
Sparta, IL 62286-1889

Mailing address

520 E. Broadway St.
Sparta, IL 62286-1816
Phone (618) 443-3111

Other names 1

  • EyeCare Plus Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1217203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1295990372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E. BROADWAY ST.",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861816",
            "telephone_number": "618-443-3111",
            "fax_number": "618-443-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E BROADWAY ST",
            "city": "SPARTA",
            "state": "IL",
            "postal_code": "622861889",
            "telephone_number": "618-443-3111",
            "fax_number": "618-443-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA J. WILLINGHAM, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-28",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "WILLINGHAM",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "618-443-3111",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare Plus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparta, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.