Active NPI
Family Eye Care of Algonquin, LTD.
Doing business as Family Eye Care of Woodstock, Ltd.
- Optometrist
- Woodstock, IL
National Provider Identifier
1649307547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009519
- Legal business name
- FAMILY EYE CARE OF ALGONQUIN, LTD.
- Doing business as
- Family Eye Care of Woodstock, Ltd.
- Practice address
- 233 Washington St
Woodstock, IL 60098-3399 - Phone
- (815) 338-0674
- Fax
- (815) 338-6139
- NPI assigned
- Feb 27, 2007
- Last updated
- Aug 28, 2009
- 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
- Dr. Jessica Dixon Heinke, OD
- Title
- President
- Phone
- (815) 338-0674
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046009519 | IL | Primary |
Addresses
Primary practice location
233 Washington St
Woodstock, IL 60098-3399
Mailing address
233 Washington St
Woodstock, IL 60098-3399
Phone (815) 338-0674
Other names 1
- Family Eye Care of Woodstock, Ltd.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
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.
-
- Optometrist
- Woodstock, IL
- NPI 1720089865
-
- Optometrist
- Woodstock, IL
- NPI 1326936428
-
- Optometrist
- Woodstock, IL
- NPI 1780725309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1251417600000",
"number": "1649307547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 WASHINGTON ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983399",
"telephone_number": "815-338-0674",
"fax_number": "815-338-6139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "233 WASHINGTON ST",
"city": "WOODSTOCK",
"state": "IL",
"postal_code": "600983399",
"telephone_number": "815-338-0674",
"fax_number": "815-338-6139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY EYE CARE OF ALGONQUIN, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2009-08-28",
"status": "A",
"authorized_official_last_name": "HEINKE",
"authorized_official_first_name": "JESSICA",
"authorized_official_middle_name": "DIXON",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-338-0674",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046009519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Eye Care of Woodstock, Ltd.",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Woodstock, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.