NPIMap

Organization Active NPI

Advanced Family Eyecare

  • Optometrist
  • Plainfield, IL
National Provider Identifier
1346338068
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008289 Issued in IL
Legal business name
ADVANCED FAMILY EYECARE
Practice address
15722 S Route 59
Building 140 Suite B
Plainfield, IL 60544-2795
Phone
(815) 254-2546
Fax
(815) 254-2566
NPI assigned
Oct 10, 2006
Last updated
Jun 17, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Authorized official

Name
Dr. James A. Tuel, O.D.NPI 1073523262
Title
President
Phone
(815) 254-2546

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046-008289 IL Primary

Addresses

Primary practice location

15722 S Route 59
Building 140 Suite B
Plainfield, IL 60544-2795

Mailing address

15722 S Route 59
Building 140 Suite B
Plainfield, IL 60544-2795
Phone (815) 254-2546

Other identifiers 1

IdentifierTypeStateIssuer
9932276OtherILBLUE CROSS BLUE SHIELD IL

National Provider Directory

National Provider Directory

Locations

15722 S Route 59
Bldg 140
Plainfield, IL 60544
Phone (815) 254-2546

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1346338068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15722 S ROUTE 59",
            "address_2": "BUILDING 140 SUITE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442795",
            "telephone_number": "815-254-2546",
            "fax_number": "815-254-2566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15722 S ROUTE 59",
            "address_2": "BUILDING 140 SUITE B",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605442795",
            "telephone_number": "815-254-2546",
            "fax_number": "815-254-2566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED FAMILY EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-10",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "TUEL",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-254-2546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008289",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "9932276",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, IL

Sources for this page

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

Verify at the official NPI Registry.