Active NPI
Linas a. Sidrys M.D.
- Ophthalmology Physician
- Streator, IL
National Provider Identifier
1578713780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- LINAS A. SIDRYS M.D.
- Practice address
- 111 Westgate PLZ
Streator, IL 61364-2767 - Phone
- (815) 672-4018
- Fax
- (815) 672-5160
- NPI assigned
- Sep 24, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Linas A Sidrys, M.D.
- Title
- Owner
- Phone
- (815) 672-4018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
111 Westgate PLZ
Streator, IL 61364-2767
Mailing address
111 Westgate PLZ
Streator, IL 61364-2767
Phone (815) 672-4018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036058239 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
111 Armory Ct
Streator, IL 61364
Phone (815) 672-4018
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chicago Ridge, IL
- NPI 1598771537
-
- Optometrist
- Crestwood, IL
- NPI 1508012485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1350432000000",
"number": "1578713780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WESTGATE PLZ",
"city": "STREATOR",
"state": "IL",
"postal_code": "613642767",
"telephone_number": "815-672-4018",
"fax_number": "815-672-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 WESTGATE PLZ",
"city": "STREATOR",
"state": "IL",
"postal_code": "613642767",
"telephone_number": "815-672-4018",
"fax_number": "815-672-5160"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LINAS A. SIDRYS M.D.",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-24",
"last_updated": "2012-10-17",
"status": "A",
"authorized_official_last_name": "SIDRYS",
"authorized_official_first_name": "LINAS",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "815-672-4018",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036058239",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Streator, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.