NPIMap

Organization Active NPI

Marc Vision Care, LTD.

  • Optometrist
  • Decatur, IL
National Provider Identifier
1306977103
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008789 Issued in IL
Legal business name
MARC VISION CARE, LTD.
Practice address
2705 N Water St Ste C
Decatur, IL 62526-6502
Phone
(217) 875-7877
Fax
(217) 875-7873
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Marc Christopher Sarmiento, O.D.
Title
President
Phone
(217) 875-7877

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008789 IL Primary

Addresses

Primary practice location

2705 N Water St Ste C
Decatur, IL 62526-6502

Mailing address

P.O. Box 3092
Decatur, IL 62524-3092
Phone (217) 875-7877

National Provider Directory

National Provider Directory

Locations

2705 N Water St
Ste C
Decatur, IL 62526
Phone (217) 875-7877

2705 N Water St
Unit C
Decatur, IL 62526
Phone (217) 875-7877

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1306977103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3092",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625243092",
            "telephone_number": "217-875-7877",
            "fax_number": "217-875-7873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2705 N WATER ST STE C",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625266502",
            "telephone_number": "217-875-7877",
            "fax_number": "217-875-7873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC VISION CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SARMIENTO",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-875-7877",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.