Organization Active NPI

Dr. Jodi Albert & Associates, P.C.

  • Medical Specialty Clinic/Center
  • Champaign, IL
National Provider Identifier
1659559938
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
046-008689 Issued in IL
Legal business name
DR. JODI ALBERT & ASSOCIATES, P.C.
Practice address
505 S Neil St Ste 4
Champaign, IL 61820-5238
Phone
(217) 356-5787
Fax
(217) 356-0655
NPI assigned
Feb 8, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

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

Authorized official

Name
Dr. Jodi M. Albert, O.D.
Title
Owner/Optometrist
Phone
(217) 356-5787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 046-008689 IL Primary

Addresses

Primary practice location

505 S Neil St Ste 4
Champaign, IL 61820-5238

Mailing address

505 S Neil St Ste 4
Champaign, IL 61820-5238
Phone (217) 356-5787

National Provider Directory

National Provider Directory

Locations

505 S Neil St
Ste 4
Champaign, IL 61820
Phone (217) 356-5787

NPI Registry JSON

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

{
    "created_epoch": "1202428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1659559938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 S NEIL ST STE 4",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205238",
            "telephone_number": "217-356-5787",
            "fax_number": "217-356-0655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 S NEIL ST STE 4",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618205238",
            "telephone_number": "217-356-5787",
            "fax_number": "217-356-0655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. JODI ALBERT & ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-08",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "ALBERT",
        "authorized_official_first_name": "JODI",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "217-356-5787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "046-008689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; 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.