JFJ Eyecare LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

JFJ EYECARE LTD

Practice address

314 Fountains Pkwy
Suite D
Fairview Heights, IL 62208-2165

Phone

(636) 200-4393

Fax

(618) 937-8403

NPI assigned

Mar 4, 2014

Organization subpart

No

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

Authorized official

Name

Sandra L Cummins

Title

Director of Billing

Phone

(618) 722-5740

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Quantum Vision Centers Doing business as

Tax ID family

Terence G Klingele MD L2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• JFJ Eyecare, LTD

  • Optometrist
  • Swansea, IL
  • NPI 1376586685
  NPD tax ID

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559606400000",
    "number": "1386069045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W LINCOLN ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622202019",
            "telephone_number": "618-234-1774",
            "fax_number": "618-937-8403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 FOUNTAINS PKWY",
            "address_2": "SUITE D",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082165",
            "telephone_number": "636-200-4393",
            "fax_number": "618-937-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JFJ EYECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-04",
        "last_updated": "2019-06-04",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR OF BILLING",
        "authorized_official_telephone_number": "618-722-5740"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1295778587",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Quantum Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Quantum Vision Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marian A Jackson, LCSW
• Walter J Jankowski, DMD
• Brittany Jarvis, CNP
• Olivia Drew Jarvis
• Laura J Jenkins, MS, OTR/L
• John Rottschalk, DMD, PC
• Arielle Nicole Johnson
• Katherine Johnson I, PTA
• Kaylin Johnson
• Kourtney Johnson, RBT

• Optometrist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.