NPIMap

Organization Active NPI

Vep Il Optometric LLC

  • Optometrist
  • Bloomington, IL
National Provider Identifier
1528536620
Registry record updated Jul 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VEP IL OPTOMETRIC LLC
Practice address
101 N Veterans Pkwy
Bloomington, IL 61704-3596
Phone
(309) 663-2700
Fax
(309) 663-2110
NPI assigned
Nov 6, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2024

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

Authorized official

Name
Eric BirkyNPI 1013483783
Title
President
Phone
(309) 663-2700

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

101 N Veterans Pkwy
Bloomington, IL 61704-3596

Mailing address

PO Box 800148
Kansas City, MO 64180-9624
Phone (309) 808-3112

Other practice location 1

5650 Belleville Crossing St
Belleville, IL 62226-3104
Phone (618) 234-2020

Other practice location 2

1011 Charleston Ave E
Mattoon, IL 61938-6226
Phone (217) 235-2020

Other practice location 3

3131 Broadway St
Quincy, IL 62301-3709
Phone (217) 223-7900

Other practice location 4

106 W Barnett Ave
Forsyth, IL 62535-1117
Phone (217) 877-7900

Other practice location 5

5255 State Route 251
Peru, IL 61354-1005
Phone (815) 224-2700

Other practice location 6

525 W Town Center Blvd
Champaign, IL 61822-1248
Phone (217) 531-5393

Other practice location 7

1419 W Lane Rd Ste B
Machesney Park, IL 61115-1629
Phone (815) 708-0805

Other practice location 8

4406 16th St
Moline, IL 61265-7012
Phone (309) 762-2020

Other practice location 9

1172 Collinsville Crossing Blvd
Collinsville, IL 62234-1880
Phone (618) 345-8000

Other practice location 10

6430 E State St Ste 102
Rockford, IL 61108-2529
Phone (815) 708-8561

Other practice location 11

4304 E Lincolnway Ste D
Sterling, IL 61081-9760
Phone (815) 626-2020

Other practice location 12

5116 N Big Hollow Rd
Peoria, IL 61615-3511
Phone (309) 683-0500

Other practice location 13

3679 N Vermilion St Unit A
Danville, IL 61832-1167
Phone (217) 213-6264

Other practice location 14

2201 Sycamore Rd
Dekalb, IL 60115-2046
Phone (815) 754-2020

Other practice location 15

2806 SW Plaza Dr
Springfield, IL 62704-6743
Phone (217) 679-5653

Other practice location 16

6679 Center Grove Rd
Edwardsville, IL 62025-2803
Phone (618) 655-1500

Other practice location 17

1222 Central Park Dr
O Fallon, IL 62269-1756
Phone (618) 628-7800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190409002694 IL Part B Supplier - Clinic/Group Practice 3678814217 Receives reassigned benefits from 37 practitioners
Practice locations: O Fallon, IL; Sterling, IL; Springfield, IL; Rockford, IL; Quincy, IL; Peru, IL; Peoria, IL; Moline, IL…

National Provider Directory

National Provider Directory
Tax ID family
Vep Il Optometric LLC20 organizations share this tax ID, including this one

Other organizations with this tax ID 19

Organizations that report the same tax identification number in the National Provider Directory.

View all 19

Locations

1035 Lawrence St
Ste 106B
Burlington, IA 52601

101 N Veterans Pkwy
Ste 301
Bloomington, IL 61704
Phone (309) 663-2700

1172 Collinsville Crossing Blvd
Collinsville, IL 62234
Phone (618) 345-8000

3679 N Vermilion St
Unit A
Danville, IL 61832
Phone (217) 213-6264

2201 Sycamore Rd
DeKalb, IL 60115
Phone (815) 754-2020

106 W Barnett Ave
Forsyth, IL 62535
Phone (217) 877-7900

1001 Charleston Ave E
Mattoon, IL 61938
Phone (217) 235-2020

4406 16th St
Moline, IL 61265
Phone (309) 762-2020

1222 Central Park Dr
O Fallon, IL 62269
Phone (618) 628-7800

5116 N Big Hollow Rd
Ste 103
Peoria, IL 61615
Phone (309) 683-0500

5255 State Route 251
Peru, IL 61354
Phone (815) 224-2700

4304 E Lincolnway
Sterling, IL 61081

811 Main St
Kansas City, MO 64180

Practitioners & affiliated clinicians

Practitioners 42

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

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1541462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1528536620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 800148",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641809624",
            "telephone_number": "309-808-3112",
            "fax_number": "312-327-7621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N VETERANS PKWY",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617043596",
            "telephone_number": "309-663-2700",
            "fax_number": "309-663-2110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5650 Belleville Crossing St",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622263104",
            "country_code": "US",
            "telephone_number": "618-234-2020",
            "fax_number": "618-234-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1011 Charleston Ave E",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619386226",
            "country_code": "US",
            "telephone_number": "217-235-2020",
            "fax_number": "217-235-2028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3131 Broadway St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "IL",
            "postal_code": "623013709",
            "country_code": "US",
            "telephone_number": "217-223-7900",
            "fax_number": "217-223-7999",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "106 W Barnett Ave",
            "address_purpose": "LOCATION",
            "city": "Forsyth",
            "state": "IL",
            "postal_code": "625351117",
            "country_code": "US",
            "telephone_number": "217-877-7900",
            "fax_number": "217-877-7992",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 State Route 251",
            "address_purpose": "LOCATION",
            "city": "Peru",
            "state": "IL",
            "postal_code": "613541005",
            "country_code": "US",
            "telephone_number": "815-224-2700",
            "fax_number": "815-224-1178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "525 W Town Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Champaign",
            "state": "IL",
            "postal_code": "618221248",
            "country_code": "US",
            "telephone_number": "217-531-5393",
            "fax_number": "217-531-9980",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1419 W Lane Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Machesney Park",
            "state": "IL",
            "postal_code": "611151629",
            "country_code": "US",
            "telephone_number": "815-708-0805",
            "fax_number": "815-708-6754",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4406 16th St",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612657012",
            "country_code": "US",
            "telephone_number": "309-762-2020",
            "fax_number": "309-762-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1172 Collinsville Crossing Blvd",
            "address_purpose": "LOCATION",
            "city": "Collinsville",
            "state": "IL",
            "postal_code": "622341880",
            "country_code": "US",
            "telephone_number": "618-345-8000",
            "fax_number": "618-345-8004",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6430 E State St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "IL",
            "postal_code": "611082529",
            "country_code": "US",
            "telephone_number": "815-708-8561",
            "fax_number": "815-708-8562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4304 E Lincolnway Ste D",
            "address_purpose": "LOCATION",
            "city": "Sterling",
            "state": "IL",
            "postal_code": "610819760",
            "country_code": "US",
            "telephone_number": "815-626-2020",
            "fax_number": "815-535-0740",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5116 N Big Hollow Rd",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "IL",
            "postal_code": "616153511",
            "country_code": "US",
            "telephone_number": "309-683-0500",
            "fax_number": "309-683-0503",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3679 N Vermilion St Unit A",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "IL",
            "postal_code": "618321167",
            "country_code": "US",
            "telephone_number": "217-213-6264",
            "fax_number": "217-213-6312",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Sycamore Rd",
            "address_purpose": "LOCATION",
            "city": "Dekalb",
            "state": "IL",
            "postal_code": "601152046",
            "country_code": "US",
            "telephone_number": "815-754-2020",
            "fax_number": "815-754-6904",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2806 SW Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "IL",
            "postal_code": "627046743",
            "country_code": "US",
            "telephone_number": "217-679-5653",
            "fax_number": "217-679-5659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6679 Center Grove Rd",
            "address_purpose": "LOCATION",
            "city": "Edwardsville",
            "state": "IL",
            "postal_code": "620252803",
            "country_code": "US",
            "telephone_number": "618-655-1500",
            "fax_number": "618-655-0965",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1222 Central Park Dr",
            "address_purpose": "LOCATION",
            "city": "O Fallon",
            "state": "IL",
            "postal_code": "622691756",
            "country_code": "US",
            "telephone_number": "618-628-7800",
            "fax_number": "618-628-7802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VEP IL OPTOMETRIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-06",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "BIRKY",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-663-2700"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.