Organization Active NPI

Bloomington Eye Institute LLC

  • Ambulatory Surgical Clinic/Center
  • Bloomington, IL
National Provider Identifier
1346205481
Registry record updated Apr 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
7002249 Issued in IL
Legal business name
BLOOMINGTON EYE INSTITUTE LLC
Practice address
1008 North Center St
Bloomington, IL 61701-2778
Phone
(309) 827-2020
Fax
(309) 828-4586
NPI assigned
Apr 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2025

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

Authorized official

Name
Dr. Ara David Aprahamian, MD
Title
Medical Director
Phone
(309) 829-5311

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 7002249 IL Primary

Addresses

Primary practice location

1008 North Center St
Bloomington, IL 61701-2778

Mailing address

1008 North Center St
Bloomington, IL 61701-2778
Phone (309) 827-2020

Other identifiers 3

IdentifierTypeStateIssuer
490003926OtherPALMETTO RAILROAD MEDICAR
039339OtherILHEALTH ALLIANCE
1547OtherILBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100130000112 IL Part B Supplier - Ambulatory Surgical Center 8325181381 Practice locations: Bloomington, IL

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Bloomington Eye Institute LLCCCN 14C0001079
Medicare certification status
ActiveFrom the Provider of Services file

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D0939310Bloomington Eye Institute1008 N Center Street, Bloomington, IL 61701Certificate of waiverJan 22, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745971200000",
    "number": "1346205481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 NORTH CENTER ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012778",
            "telephone_number": "309-827-2020",
            "fax_number": "309-828-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 NORTH CENTER ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617012778",
            "telephone_number": "309-827-2020",
            "fax_number": "309-828-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLOOMINGTON EYE INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-30",
        "status": "A",
        "authorized_official_last_name": "APRAHAMIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-829-5311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": "7002249",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO RAILROAD MEDICAR",
            "identifier": "490003926",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "039339",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1547",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.