NPIMap

Organization Active NPI

Prairie Eye Center, LTD

Doing business as Prairie Eye & Lasik Center

  • Ophthalmology Physician
  • Springfield, IL
National Provider Identifier
1447222864
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PRAIRIE EYE CENTER, LTD
Doing business as
Prairie Eye & Lasik Center
Practice address
2020 W Iles Ave
Springfield, IL 62704-4174
Phone
(217) 698-3030
Fax
(217) 698-4728
NPI assigned
Feb 2, 2006
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Sandra Wai-Seung Yeh, MD, MD
Title
Cmo
Phone
(217) 698-3030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 042-000760 IL
Ophthalmology Physician 207W00000X NU Primary

Addresses

Primary practice location

2020 W Iles Ave
Springfield, IL 62704-4174

Mailing address

2020 W Iles Ave
Springfield, IL 62704-4174
Phone (217) 698-3030

Other names 1

  • Prairie Eye & Lasik Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031111000811 IL Part B Supplier - Clinic/Group Practice 6507779824 Receives reassigned benefits from 20 practitioners
2 other NPIs on this enrollment
Practice locations: Decatur, IL; Hillsboro, IL; Jacksonville, IL; Springfield, IL
O20100930009555 IL DME Supplier - Physician - Ophthalmology 6507779824 Practice locations: Springfield, IL

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Eye Care Prof of Hillsb2 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.

Locations

700 N Side Sq
Clinton, IL 61727
Phone (217) 935-6309

2000 W Morton Ave
Jacksonville, IL 62650
Phone (217) 245-6814

901 W Morton Ave
Ste 104
Jacksonville, IL 62650
Phone (217) 245-6211

518 Broadway St
Lincoln, IL 62656
Phone (217) 732-6062

Ownership & related parties

Subparts reporting this organization as parent 7

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1138838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1447222864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044174",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044174",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE EYE CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-02",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "YEH, MD",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "WAI-SEUNG",
        "authorized_official_title_or_position": "CMO",
        "authorized_official_telephone_number": "217-698-3030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "042-000760",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Eye & Lasik Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Eye & Lasik Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Springfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.