Taylorville Vision Center, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

060009009 Issued in IL

Legal business name

TAYLORVILLE VISION CENTER, LTD

Practice address

108 S Main St
Taylorville, IL 62568-2230

Phone

(217) 287-2020

Fax

(217) 824-2228

NPI assigned

Dec 19, 2007

Last updated

Aug 31, 2009By 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

Dr. Steven W Moore, O.D.

Title

President

Phone

(217) 287-2020

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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.

• Mark Allen Ellison, O.D.

  • Optometrist
  • Bethalto, IL
  • NPI 1952509424
  NPD (past)
• Keith R. Hamm, O.D.

  • Optometrist
  • Shiloh, IL
  • NPI 1225023401
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251676800000",
    "number": "1669656252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682230",
            "telephone_number": "217-287-2020",
            "fax_number": "217-824-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S MAIN ST",
            "city": "TAYLORVILLE",
            "state": "IL",
            "postal_code": "625682230",
            "telephone_number": "217-287-2020",
            "fax_number": "217-824-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAYLORVILLE VISION CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2009-08-31",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "217-287-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060009009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylorville Memorial Hospital
• Taylorville Memorial Hospital Home Care
• Taylorville Skilled Nursing & Rehab LLC
• Taylorville Skilled Nursing & Rehab LLC
• Taylorville Skilled Nursing & Rehab LLC
• Peggy Tell, LCPC
• Gina Berg Thompson, RPH
• Kelsie A. Tobias, LCSW
• Billie J Toland, FNP-BC
• Toofan Medical Holdings, LTD (Taylorville Urgent Care)

• Optometrist in Taylorville, IL
• Providers in Taylorville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 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.