NPIMap

Organization Active NPI

Eyecare Focus PC

  • Optometrist
  • Washington, IL
National Provider Identifier
1477825511
Registry record updated Feb 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
04600642 Issued in IL
Legal business name
EYECARE FOCUS PC
Practice address
93 Eastgate Dr
Washington, IL 61571-9271
Phone
(309) 698-2020
Fax
(309) 698-0368
NPI assigned
Feb 6, 2012
Last updated
Feb 6, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2012

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

Authorized official

Name
J Allen Potter, O.D.NPI 1467454496
Title
Ceo
Phone
(309) 698-2020

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 04600642 IL Primary

Addresses

Primary practice location

93 Eastgate Dr
Washington, IL 61571-9271

Mailing address

93 Eastgate Dr
Washington, IL 61571-9271
Phone (309) 698-2020

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1328486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328486400000",
    "number": "1477825511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 EASTGATE DR",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719271",
            "telephone_number": "309-698-2020",
            "fax_number": "309-698-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 EASTGATE DR",
            "city": "WASHINGTON",
            "state": "IL",
            "postal_code": "615719271",
            "telephone_number": "309-698-2020",
            "fax_number": "309-698-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE FOCUS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-06",
        "last_updated": "2012-02-06",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "J",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "309-698-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "04600642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.