Individual provider Active NPI

Julie Linn Quivey, O.D.

  • Corneal and Contact Management Optometrist
  • Champaign, IL
National Provider Identifier
1619077831
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Practice address
505 S Neil St
Suite #4
Champaign, IL 61820-5231
Phone
(217) 356-5787
Fax
(217) 356-0655
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management Optometrist 152WC0802X IL Primary

Addresses

Primary practice location

505 S Neil St
Suite #4
Champaign, IL 61820-5231

Mailing address

1307 Wildwood LN
Mahomet, IL 61853-9770
Phone (217) 586-4373

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070525000458 IL Practitioner - Optometry 4385741347 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007806ILMDCorneal and Contact Management Optometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Vep Il Optometric LLC CurrentSince Apr 25, 2024 Accepting new patients
Oneopto Il 2 PLLC CurrentSince Sep 28, 2025 Accepting new patients
Pearle Vision Inc Past Accepting new patients

Locations

101 N Veterans Pkwy
Ste 301
Bloomington, IL 61704
Phone (309) 663-2700

525 W Town Center Blvd
Champaign, IL 61822
Phone (217) 531-5393

811 Main St
Kansas City, MO 64180

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1619077831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1307 WILDWOOD LN",
            "city": "MAHOMET",
            "state": "IL",
            "postal_code": "618539770",
            "telephone_number": "217-586-4373",
            "fax_number": "217-586-4373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S NEIL ST",
            "address_2": "SUITE #4",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205231",
            "telephone_number": "217-356-5787",
            "fax_number": "217-356-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIVEY",
        "first_name": "JULIE",
        "middle_name": "LINN",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

Verify at the official NPI Registry.