Organization Active NPI

Dillman Eye Care Optical Inc

  • Eyewear Supplier
  • Danville, IL
National Provider Identifier
1629013719
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
3010 9434 Issued in IL
Legal business name
DILLMAN EYE CARE OPTICAL INC
Practice address
600 North Logan Avenue
Danville, IL 61832-4375
Phone
(217) 443-8112
Fax
(217) 443-6779
NPI assigned
Jun 20, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
David M Dillman, MD
Title
Owner President
Phone
(217) 443-8112

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 3010 9434 IL Primary

Addresses

Primary practice location

600 North Logan Avenue
Danville, IL 61832-4375

Mailing address

600 North Logan Avenue
Danville, IL 61832-4375
Phone (217) 443-8112

Other identifiers 1

IdentifierTypeStateIssuer
071762OtherHEALTH ALLIANCE

National Provider Directory

National Provider Directory

Locations

600 N Logan Ave
Danville, IL 61832
Phone (217) 443-2020

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1629013719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NORTH LOGAN AVENUE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324375",
            "telephone_number": "217-443-8112",
            "fax_number": "217-443-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTH LOGAN AVENUE",
            "city": "DANVILLE",
            "state": "IL",
            "postal_code": "618324375",
            "telephone_number": "217-443-8112",
            "fax_number": "217-443-6779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DILLMAN EYE CARE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "DILLMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PRESIDENT",
        "authorized_official_telephone_number": "217-443-8112",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "3010 9434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "071762",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.