Prairie Eye Center, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRAIRIE EYE CENTER, LTD

Practice address

2000 W Morton Ave
Jacksonville, IL 62650-2623

Phone

(217) 245-6814

Fax

(217) 245-0375

NPI assigned

Jun 7, 2007

Organization subpart

Yes

Parent organization

PRAIRIE EYE CENTER, LTDAs reported in NPPES

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

Authorized official

Name

Jason Lang

Title

Billing Administrator

Phone

(217) 698-3030

Specialties & licenses 3

Addresses

Other names 1

• Jacksonville Ophthalmologic Associates Ltd Former legal business name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Part of

Eye Care Prof of Hillsb

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prairie Eye Center, LTD

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864
  NPPES parent name

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

{
    "created_epoch": "1181174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1578766515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047015",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MORTON AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502623",
            "telephone_number": "217-245-6814",
            "fax_number": "217-245-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE EYE CENTER, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE EYE CENTER, LTD",
        "enumeration_date": "2007-06-07",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "217-698-3030"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-051855",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacksonville Ophthalmologic Associates Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Jacksonville Ophthalmologic Associates Ltd",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Lawrence B Plummer, DO
• Macy Pohlman
• Pointe at Jacksonville, LLC
• Tal Pollak, M.D.
• Chandupatla Prabhakar, MD
• Prairie Village Healthcare Center Inc
• Abigail Rose Prevett
• Rebecca Beth Pritikin, M.ED, LAT, ATC
• R & D Pharmacies, Inc
• Constance Racine Radford, MSOT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.