C E Myers MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

36060306 Issued in IL

Legal business name

C E MYERS MD

Practice address

5401 N Knoxville Ave
Suite 106
Peoria, IL 61614-5098

Phone

(309) 693-2710

Fax

(309) 693-9460

NPI assigned

Feb 13, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Clifford Earl Myers, M.D.

Title

Owner

Phone

(309) 693-2710

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1376711283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-693-2710",
            "fax_number": "309-693-9460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 N KNOXVILLE AVE",
            "address_2": "SUITE 106",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616145098",
            "telephone_number": "309-693-2710",
            "fax_number": "309-693-9460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C E MYERS MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "MYERS",
        "authorized_official_first_name": "CLIFFORD",
        "authorized_official_middle_name": "EARL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-693-2710",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "36060306",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "36060306",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Christine Butts, APRN
• Darshika Sai Buvanendaran, MD
• Rebecca Jane Byler Dann, M.D., M.P.H.
• Casy Willaim Byrd, NRP, CCP
• Alexis Byrne, MT
• Pilar M Caballero, MD
• Mary Elizabeth Cabell, APRN
• Siddiqh Cade
• Karen Cadet-Saintilus, M.D.
• Shelby Caho, RD, LDN

• All providers in Peoria, IL
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.