Eyecare Management, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYECARE MANAGEMENT, LLC

Practice address

408 W 2ND St
Centralia, IL 62801-3402

Phone

(618) 532-5531

Fax

(618) 532-6706

NPI assigned

Aug 1, 2006

Organization subpart

No

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

Authorized official

Name

Bart Aaron Jones, M.D.

Title

Co Owner

Phone

(618) 277-1130

Specialties & licenses 1

Addresses

Other names 1

• Centralia offices Other name

Tax ID family

Eyecare Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Eyecare Management LLC

  • Durable Medical Equipment & Medical Supplies
  • Maryville, IL
  • NPI 1700938578
  NPD tax ID
• Eyecare Management, LLC

  • Optometrist
  • Collinsville, IL
  • NPI 1457686057
  NPD tax ID

Locations

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548276306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 W 2ND ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013402",
            "telephone_number": "618-532-5531",
            "fax_number": "618-532-6706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 W 2ND ST",
            "city": "CENTRALIA",
            "state": "IL",
            "postal_code": "628013402",
            "telephone_number": "618-532-5531",
            "fax_number": "618-532-6706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE MANAGEMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BART",
        "authorized_official_middle_name": "AARON",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "618-277-1130",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Centralia offices",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Lori Michelle Eisenhauer, MS LCPC
• Kristi Ann Elms, PT
• Sarah Ruth Epplin, PH.D. CCC-SLP
• Nicole Renee Erwin, RPH
• Austin Estes
• Beth Fadler, P.T.
• Donna Finney
• Fireside-LTC, LLC
• Lindsey Nicole Fogliasso
• Jessica Foos

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.