Tri-State Optometric Association

Primary specialty

OptometristTaxonomy code 152W00000X

License

0046007595 Issued in IL

Legal business name

TRI-STATE OPTOMETRIC ASSOCIATION

Practice address

775 Sinsinawa Ave
East Dubuque, IL 61025-1409

Phone

(563) 872-5975

Fax

(563) 872-3248

NPI assigned

May 24, 2007

Last updated

Oct 17, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Steven Donald Sloan, ODNPI 1881689461

Title

Optometrist

Phone

(563) 872-5975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Steven D. Sloan, OD

  • Optometrist
  • Bellevue, IA
  • NPI 1881689461
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1306057302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SINSINAWA AVE",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610251409",
            "telephone_number": "563-872-5975",
            "fax_number": "563-872-3248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SINSINAWA AVE",
            "city": "EAST DUBUQUE",
            "state": "IL",
            "postal_code": "610251409",
            "telephone_number": "563-872-5975",
            "fax_number": "563-872-3248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE OPTOMETRIC ASSOCIATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-24",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "SLOAN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "563-872-5975",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046007595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rae Lynn Jackson, M.A.,CCC-SLP
• Dieunn Musser, LCPC
• James R Neumeister, DDS
• River City Family Practice SC
• Christopher Matthew Strauser, LAT, MAT, ATC
• David Joseph Weber, D.C.
• Weimerskirch Family Dental, PLLC
• Bradley Weimerskirch

• Optometrist in East Dubuque, IL
• Providers in East Dubuque, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.