Effingham Ophthalmology Associates, LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EFFINGHAM OPHTHALMOLOGY ASSOCIATES, LTD.

Practice address

903 Medical Park Dr
Effingham, IL 62401-2190

Phone

(217) 347-2933

Fax

(217) 347-2932

NPI assigned

May 19, 2006

Last updated

Mar 17, 2015By 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

Eric C Zeller, RN

Title

Administrator

Phone

(217) 347-2933

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

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.

• Christy C Hohenbary, OD

  • Optometrist
  • Effingham, IL
  • NPI 1447203591
  Medicare reassignment Care Compare group NPD
• John D Kay, MD

  • Ophthalmology Physician
  • Effingham, IL
  • NPI 1093768061
  Medicare reassignment Care Compare group NPD
• Joseph W Spraul, MD

  • Ophthalmology Physician
  • Effingham, IL
  • NPI 1134172141
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1598718454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 MEDICAL PARK DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012190",
            "telephone_number": "217-347-2933",
            "fax_number": "217-347-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 MEDICAL PARK DR",
            "city": "EFFINGHAM",
            "state": "IL",
            "postal_code": "624012190",
            "telephone_number": "217-347-2933",
            "fax_number": "217-347-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EFFINGHAM OPHTHALMOLOGY ASSOCIATES, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "ZELLER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-347-2933",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC5542",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "2500068",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Effingham Hco, LLC
• Effingham Healthcare & Senior Living LLC
• Effingham Obstetrics & Gynecology Associates SC
• Effingham Obstetrics and Gynecology Associates PLLC
• Effingham Open MRI, LLC (Ameriscan CT & MRI, LLC)
• Effingham Orthopedic Clinic SC
• Effingham Pelvic Health & Wellness, PLLC
• Effingham Sleep Center, Inc
• Effingham Suites, LLC
• Effingham Urology Associates,S.C.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.