Christian County Visionary

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

CHRISTIAN COUNTY VISIONARY

Practice address

104 Oak St # 5
Pana, IL 62557-1580

Phone

(217) 562-2512

NPI assigned

Dec 28, 2021

Organization subpart

No

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

Authorized official

Name

Matthew Jones, MDNPI 1578727368

Title

Owner/Optometrist

Phone

(217) 342-2672

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

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

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew Robert Jones, OD

  • Optometrist
  • Effingham, IL
  • NPI 1578727368
  Medicare reassignment Care Compare group NPD Authorized official
• Tina M Funk, OD

  • Optometrist
  • Olney, IL
  • NPI 1730293770
  Medicare reassignment Care Compare group NPD
• Amanda Gerson

  • Optometrist
  • Jerseyville, IL
  • NPI 1417514134
  Medicare reassignment Care Compare group NPD
• Emily Smith, O.D.

  • Optometrist
  • Marion, IL
  • NPI 1013117159
  Medicare reassignment Care Compare group NPD
• Robert Wayne Jones, OD

  • Optometrist
  • Effingham, IL
  • NPI 1588728257
  NPD
• Robert Carl Smith, O.D.

  • Optometrist
  • Marion, IL
  • NPI 1558419325
  NPD

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

{
    "created_epoch": "1640649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756252800000",
    "number": "1508526864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 W SPRINGFIELD RD",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625681213",
            "telephone_number": "217-287-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 OAK ST # 5",
            "city": "PANA",
            "state": "IL",
            "postal_code": "625571580",
            "telephone_number": "217-562-2512"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "904 W Springfield Rd",
            "address_purpose": "LOCATION",
            "city": "Taylorville",
            "state": "IL",
            "postal_code": "625681213",
            "country_code": "US",
            "telephone_number": "217-287-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHRISTIAN COUNTY VISIONARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-28",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "217-342-2672",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mamie Campbell
• Nikki Carls
• Whitney Kathryn Carruthers, FNP
• Andrew James Casner
• Christian County Mental Health Association
• Garrett Claxon, PT, DPT
• Laurie Cunnington, M.D.
• Walter H Cunnington III, M.D.
• Alan Douglas Cyrus, D.C.
• Brooke Erica Dean, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.