Organization Active NPI

Heartland Eyecare Group

  • Optometrist
  • Bloomington, IL
National Provider Identifier
1487849162
Registry record updated Sep 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46-8260 Issued in IL
Legal business name
HEARTLAND EYECARE GROUP
Practice address
2501 E College Ave
Suite B
Bloomington, IL 61704-2484
Phone
(309) 661-9191
Fax
(309) 661-2259
NPI assigned
Sep 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2007

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

Authorized official

Name
Dr. Lance William Rocke, O.D.
Title
President
Phone
(309) 661-9191

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 46-8260 IL Primary

Addresses

Primary practice location

2501 E College Ave
Suite B
Bloomington, IL 61704-2484

Mailing address

2501 E College Ave
Suite B
Bloomington, IL 61704-2484
Phone (309) 661-9191

National Provider Directory

National Provider Directory

Locations

2501 E College Ave
Ste B
Bloomington, IL 61704
Phone (309) 661-9191

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1487849162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 E COLLEGE AVE",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042484",
            "telephone_number": "309-661-9191",
            "fax_number": "309-661-2259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E COLLEGE AVE",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617042484",
            "telephone_number": "309-661-9191",
            "fax_number": "309-661-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EYECARE GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "ROCKE",
        "authorized_official_first_name": "LANCE",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-661-9191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46-8260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.