Individual provider Active NPI

Grace Christine Sigler, OD

  • Optometrist
  • Rock Island, IL
National Provider Identifier
1417793662
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046011862 Issued in IL
Practice address
2501 24TH St Ste 1
Rock Island, IL 61201-5399
Phone
(309) 788-0604
Fax
(309) 788-0611
NPI assigned
Jul 8, 2024
Last updated
Jul 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011862 IL Primary

Addresses

Primary practice location

2501 24TH St Ste 1
Rock Island, IL 61201-5399

Mailing address

2501 24TH St Ste 1
Rock Island, IL 61201-5399
Phone (309) 788-0604

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240812000929 IL Practitioner - Optometry 3274071154 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rock Island Optometric Center LTDGroup PAC ID 1951428184, 5 clinicians

Practice addresses (Care Compare)

2501 24TH St
Rock Island, IL 61201-5300
Phone (309) 788-0604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011862ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rock Island Optometric Center LTD Optometrist CurrentSince Jul 15, 2024 Accepting new patients

Locations

106 S College Ave
Aledo, IL 61231
Phone (309) 582-2421

2501 24th St
Rock Island, IL 61201
Phone (309) 786-1226

2501 24th St
Ste 1
Rock Island, IL 61201
Phone (309) 788-0604

Organizations & group practices 1

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": "1720396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720396800000",
    "number": "1417793662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 24TH ST STE 1",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015399",
            "telephone_number": "309-788-0604",
            "fax_number": "309-788-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 24TH ST STE 1",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015399",
            "telephone_number": "309-788-0604",
            "fax_number": "309-788-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIGLER",
        "first_name": "GRACE",
        "middle_name": "CHRISTINE",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-08",
        "last_updated": "2024-07-08",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Island, IL

Sources for this page

Verify at the official NPI Registry.