Illinois Express Vis Ctr Dnvll Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-007720 Issued in IL

Legal business name

ILLINOIS EXPRESS VIS CTR DNVLL INC

Doing business as

Illinois Express Eyecare

Practice address

2807 N Vermilion St
Ste 4
Danville, IL 61832-1444

Phone

(217) 446-5554

NPI assigned

Nov 9, 2006

Last updated

Mar 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Mark Paris

Title

President

Phone

(217) 446-5554

Specialties & licenses 1

Addresses

Other names 1

• Illinois Express Eyecare Doing business as

Locations

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.

• Danny Robert Grider, O.D.

  • Optometrist
  • Danville, IL
  • NPI 1407904790
  NPD (past)
• Berry Allen Harris, OD

  • Optometrist
  • Danville, IL
  • NPI 1437200516
  NPD (past)

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1331856000000",
    "number": "1487724910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 N VERMILION ST",
            "address_2": "STE 4",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 N VERMILION ST",
            "address_2": "STE 4",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618321444",
            "telephone_number": "217-446-5554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS EXPRESS VIS CTR DNVLL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2012-03-16",
        "status": "A",
        "authorized_official_last_name": "PARIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-446-5554",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007720",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Express Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David P Hurley Jr., MD
• Kashif Hussain, M.D
• Angelika Hustedt, MT-BC
• HW Holdings (All About Eyes)
• Illiana Emergency Physicians, LLP
• Illinois-Indiana Em-I Medical Services S C
• Illume Counseling and Wellness Center LLC
• Jennifer Imig Huffman, PH.D.
• Lisa Innes
• Inwood Emergency Physicians, LLC

• Optometrist in Danville, IL
• Providers in Danville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.