Eye Center LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CENTER LLC

Practice address

2151 S Neil St
Champaign, IL 61820-7593

Phone

(217) 352-2020

Fax

(217) 398-4040

NPI assigned

Feb 23, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Samir I Sayegh, MD, PHDNPI 1104918176

Title

Medical Director

Phone

(217) 352-2020

Specialties & licenses 2

Addresses

Other names 1

• SAMIR I SAYEGH SOLE MBR Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

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

• Samir I. Sayegh, MD, PHD

  • Ophthalmology Physician
  • Champaign, IL
  • NPI 1104918176
  Medicare reassignment Authorized official
• Douglas H Paine, M.D.

  • Specialist
  • Terre Haute, IN
  • NPI 1386646073
  NPD (past)
• Ronald Wayne Richardson, O.D.

  • Optometrist
  • McAllen, TX
  • NPI 1568431047
  NPD (past)
• Lawrence J Richter, M.D.

  • Specialist
  • Terre Haute, IN
  • NPI 1235131905
  NPD (past)
• Gary Dale Rusk, MD

  • Neurology Physician
  • Terre Haute, IN
  • NPI 1962404632
  NPD (past)

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

{
    "created_epoch": "1266883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721865600000",
    "number": "1356663967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2151 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207593",
            "telephone_number": "217-352-2020",
            "fax_number": "217-398-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2151 S NEIL ST",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618207593",
            "telephone_number": "217-352-2020",
            "fax_number": "217-398-4040"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 E Main St # 116A",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618325844",
            "country_code": "US",
            "telephone_number": "217-446-2020",
            "fax_number": "217-446-6552",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E McCallister Dr",
            "address_purpose": "LOCATION",
            "city": "Terre Haute",
            "state": "IN",
            "postal_code": "478024248",
            "country_code": "US",
            "telephone_number": "812-235-2020",
            "fax_number": "812-235-4040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-23",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A",
        "authorized_official_last_name": "SAYEGH",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "217-352-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SAMIR I SAYEGH SOLE MBR",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SAMIR I SAYEGH SOLE MBR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Everside Health LLC
• Roger Ewald, M.D.
• Brittany Michelle Ewing
• Kye Thomas Ewing, LCSW
• Excel Prep
• Eyemart Express LLC
• Eyemart Express, LTD
• F.a. Wrestler M.D., LTD
• Lester J. Fahrner, M.D.
• Patricia Fairchild, OT

• Ophthalmology Physician in Champaign, IL
• Providers in Champaign, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.