Individual provider Active NPI

Eric Hunt Wigton, M.D.

  • Ophthalmology Physician
  • Swansea, IL
National Provider Identifier
1396926424
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
29048 Issued in AL
Practice address
3990 N Illinois St
Swansea, IL 62226-1919
Phone
(618) 277-1130
Fax
(618) 277-4917
NPI assigned
Nov 16, 2007
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 29048 AL Primary

Addresses

Primary practice location

3990 N Illinois St
Swansea, IL 62226-1919

Mailing address

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Other identifiers 13

IdentifierTypeStateIssuer
051117254OtherALBCBS
051117259OtherALBCBS
128667MedicaidAL
128662MedicaidAL
051117253OtherALBCBS
128661MedicaidAL
07805726MedicaidMS
128660MedicaidAL
051117258OtherALBCBS
128646MedicaidAL
051117260OtherALBCBS
051117262OtherALBCBS
128645MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120827000703 IL Practitioner - Ophthalmology 8527246586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Saint Louis University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JFJ Eyecare LTDGroup PAC ID 8224009865, 13 clinicians

Practice addresses (Care Compare)

3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
92.01
Improvement activities
40
Cost
76.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29048ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JFJ Eyecare LTD CurrentSince Jul 23, 2012 Accepting new patients
JFJ Eyecare, LTD CurrentSince Jul 23, 2012 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology Past Accepting new patients

Locations

4900 W Main St
Belleville, IL 62226
Phone (618) 235-2400

408 W 2nd St
Centralia, IL 62801
Phone (618) 532-5531

2421 Corporate Ctr
Ste 102
Granite City, IL 62040
Phone (618) 451-7925

12 Professional Park Dr
Maryville, IL 62062
Phone (618) 288-7266

3990 N Illinois St
Swansea, IL 62226
Phone (618) 235-3100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1195171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1396926424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGTON",
        "first_name": "ERIC",
        "middle_name": "HUNT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-11-16",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "29048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051117254",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051117259",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128667",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128662",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051117253",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128661",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07805726",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128660",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051117258",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128646",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051117260",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "051117262",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "128645",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

Verify at the official NPI Registry.