Repking Eye Care PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

REPKING EYE CARE PLLC

Doing business as

Repking Eye Care

Practice address

113 E Main St
Teutopolis, IL 62467-1340

Phone

(217) 903-4117

NPI assigned

Aug 3, 2023

Last updated

Aug 3, 2023By 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

Dr. Brian Raymond Repking, ODNPI 1942684642

Title

Owner/President

Phone

(217) 663-0419

Specialties & licenses 1

Addresses

Other names 1

• Repking Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brian Repking, O.D.

  • Optometrist
  • Teutopolis, IL
  • NPI 1942684642
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1598447179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 KATRINA DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624010018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 E MAIN ST",
            "city": "TEUTOPOLIS",
            "state": "IL",
            "postal_code": "624671340",
            "telephone_number": "217-903-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REPKING EYE CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "REPKING",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "RAYMOND",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "217-663-0419",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Repking Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Whitney Meyer
• Mid-Illinois Medical Care Associates, LLC (Runde Clinic)
• John Neihls
• Emily Marie Nosbisch, NP
• Charity Ozenkoski
• Brian Repking, O.D.
• Jessica Kristin Rhodes, DT
• Rebecca Fay Rhodes, DEVELOPMENTAL THERAP
• Natasha Renee Ruholl, M.S., CCC-SLP
• Charles W. Runde, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.