Midwest Eye Care P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MIDWEST EYE CARE P.C.

Practice address

101 N Parkway Dr
Pekin, IL 61554-3932

Phone

(309) 347-5115

Fax

(309) 347-7036

NPI assigned

Jul 27, 2005

Last updated

Dec 18, 2007By 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

Traci Bacon

Title

Office Manger

Phone

(309) 347-5115

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197936000000",
    "number": "1538169917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PARKWAY DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543932",
            "telephone_number": "309-347-5115",
            "fax_number": "309-347-7036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PARKWAY DR",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543932",
            "telephone_number": "309-347-5115",
            "fax_number": "309-347-7036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE CARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-27",
        "last_updated": "2007-12-18",
        "status": "A",
        "authorized_official_last_name": "BACON",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "OFFICE MANGER",
        "authorized_official_telephone_number": "309-347-5115"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ann Meyer, LMT-MLD
• Andrew E Miars
• Michael D. Danner, D.D.S., LLC
• Dory Mickna, FNP-C
• Midwest Anesthesia Consultants, S.C.
• Midwest Eye Care PC
• Miller Family Medicine, SC
• Christina Marie Miller, BS
• Cynthia Dawn Miller, DMD
• Julie Miller

• Ophthalmology Physician in Pekin, IL
• Providers in Pekin, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.