Tri County Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

TRI COUNTY EYE CARE PC

Practice address

216 NW 1St Street
Galva, IL 61434

Phone

(309) 932-3615

Fax

(309) 932-2023

NPI assigned

Sep 20, 2006

Organization subpart

No

Name

Ms. Sally A Bass

Title

Office Manager

Phone

(309) 932-3615

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandra Marie Braet, O.D.

  • Optometrist
  • Galesburg, IL
  • NPI 1740837848
  NPD
• Nicholas Joseph Podpeskar, OD

  • Optometrist
  • Galva, IL
  • NPI 1679128177
  NPD
• Peter H Kehoe, OD

  • Optometrist
  • Galesburg, IL
  • NPI 1164415139
  NPD (past)

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 14, 2012.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347580800000",
    "number": "1669570933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 NW 1ST ST",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "61434",
            "telephone_number": "309-932-3615",
            "fax_number": "309-932-2023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NW 1ST STREET",
            "city": "GALVA",
            "state": "IL",
            "postal_code": "61434",
            "telephone_number": "309-932-3615",
            "fax_number": "309-932-2023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI COUNTY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-09-14",
        "status": "A",
        "authorized_official_last_name": "BASS",
        "authorized_official_first_name": "SALLY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "309-932-3615",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "5352770001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Regional Health Partners LLC
• Wayne F. Skaloud, D.D.S.
• Sleepers Anesthesia Service, PC
• Jackie Anne Somolski, MS CF-SLP
• Whitney Thompson
• Christina Renee Vinovich, LCPC

• All providers in Galva, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2012; 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.