NPIMap

Organization Active NPI

Taylorville Vision Center, LTD

  • Optometrist
  • Taylorville, IL
National Provider Identifier
1669656252
Registry record updated Aug 31, 2009
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Steven W Moore, O.D.
Title
President
Phone
(217) 287-2020

Practitioners 2

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

National Provider Directory

National Provider Directory

Locations

108 S Main St
Taylorville, IL 62568
Phone (217) 287-2020

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 060009009 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

108 S Main St
Taylorville, IL 62568-2230

Mailing address

108 S Main St
Taylorville, IL 62568-2230
Phone (217) 287-2020

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 31, 2009.

{
    "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": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060009009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Taylorville, IL

Sources for this page

  • 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.