Organization Active NPI

Chittick Family Vision Center, LTD.

  • Optometrist
  • Paris, IL
National Provider Identifier
1467640516
Registry record updated Feb 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHITTICK FAMILY VISION CENTER, LTD.
Practice address
112 S Main St # 95
Paris, IL 61944-1731
Phone
(217) 465-6461
Fax
(217) 465-6461
NPI assigned
Oct 12, 2007
Last updated
Feb 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2008

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

Authorized official

Name
Dr. Aaron G. Rhoads, O.D.NPI 1538236138
Title
Optometrist
Phone
(217) 465-6461

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

112 S Main St # 95
Paris, IL 61944-1731

Mailing address

112 S Main St # 95
Paris, IL 61944-1731
Phone (217) 465-6461

Other identifiers 1

IdentifierTypeStateIssuer
282350OtherILMEDICARE GROUP NUMBER

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050506000564 IL Part B Supplier - Clinic/Group Practice 2062452253 Receives reassigned benefits from 1 practitioner
Practice locations: Paris, IL
O20100930050957 IL DME Supplier - Physician - Optometrist 2062452253 Practice locations: Paris, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Chittick Family Vision Center, LTD.112 S Main St, Paris, IL 61944-1731(217) 465-6461 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses Accepts assignmentParticipating since Jan 1, 1994

National Provider Directory

National Provider Directory

Locations

112 S Main St
#95
Paris, IL 61944
Phone (217) 465-6461

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202428800000",
    "number": "1467640516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST # 95",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619441731",
            "telephone_number": "217-465-6461",
            "fax_number": "217-465-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S MAIN ST # 95",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619441731",
            "telephone_number": "217-465-6461",
            "fax_number": "217-465-6461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTICK FAMILY VISION CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2008-02-08",
        "status": "A",
        "authorized_official_last_name": "RHOADS",
        "authorized_official_first_name": "AARON",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "217-465-6461",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "282350",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.