NPIMap

Organization Active NPI

Central Illinois Eyecare, LLC

  • Optometrist
  • Normal, IL
National Provider Identifier
1316341852
Registry record updated Oct 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009645 Issued in IL
Legal business name
CENTRAL ILLINOIS EYECARE, LLC
Practice address
407 Kays Dr
Normal, IL 61761-1958
Phone
(309) 454-1010
Fax
(309) 454-1077
NPI assigned
Oct 13, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2014

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

Authorized official

Name
Eric Norell, O.D.
Title
Optometrist/Owner
Phone
(309) 454-1010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-009645 IL Primary

Addresses

Primary practice location

407 Kays Dr
Normal, IL 61761-1958

Mailing address

407 Kays Dr
Normal, IL 61761-1958
Phone (309) 454-1010

National Provider Directory

National Provider Directory

Locations

407 Kays Dr
Normal, IL 61761
Phone (309) 454-1010

NPI Registry JSON

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

{
    "created_epoch": "1413158400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413158400000",
    "number": "1316341852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "407 KAYS DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611958",
            "telephone_number": "309-454-1010",
            "fax_number": "309-454-1077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "407 KAYS DR",
            "city": "NORMAL",
            "state": "IL",
            "postal_code": "617611958",
            "telephone_number": "309-454-1010",
            "fax_number": "309-454-1077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ILLINOIS EYECARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-13",
        "last_updated": "2014-10-13",
        "status": "A",
        "authorized_official_last_name": "NORELL",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "309-454-1010",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Normal, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2014; 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.