Active NPI
Victoria J. Willingham, O.D., P.C.
Doing business as EyeCare Plus
- Optometrist
- Sparta, IL
National Provider Identifier
1295990372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-007728
- 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, 2008
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryNPI 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.