Active NPI
Dillman Eye Care Optical Inc
- Eyewear Supplier
- Danville, IL
National Provider Identifier
1629013719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 3010 9434
- 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, 2013
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 071762 | Other | HEALTH ALLIANCE |
National Provider Directory
National Provider DirectoryLocations
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.