Prairie Eyecare Center, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRAIRIE EYECARE CENTER, LTD

Practice address

3272 Sycamore Rd
Dekalb, IL 60115-9621

Phone

(815) 756-3701

NPI assigned

Jul 25, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Lora Cartmell

Title

Business Manager

Phone

(630) 334-7855

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1386990562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621",
            "telephone_number": "815-756-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE EYECARE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-25",
        "last_updated": "2012-07-25",
        "status": "A",
        "authorized_official_last_name": "CARTMELL",
        "authorized_official_first_name": "LORA",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "630-334-7855",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine M Polz, APRN, CNP
• Justin Patrick Pomar, ATC, LAT
• Fidel Ponce, BA
• Karina Ponce
• Kammy Jane Powell, M.S., ATC
• Premier Pediatric Therapy Associates
• Cat Brian Prescott, CRC
• Natalie K Price, MD
• Deborah Probst
• Karen Nicole Pudrith, OTR/L

• Optometrist in Dekalb, IL
• Providers in Dekalb, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; 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.