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

Last updated

Sep 14, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Sally A Bass

Title

Office Manager

Phone

(309) 932-3615

Specialties & licenses 1

Addresses

Practitioners 3

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.

• 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)

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

{
    "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": [],
    "endpoints": [],
    "other_names": []
}

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

• Optometrist in Galva, IL
• Providers in Galva, IL by specialty
• 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.