Individual provider Active NPI

Elizabeth Eyler, O.D.

  • Optometrist
  • Galesburg, IL
National Provider Identifier
1669806600
Registry record updated Jul 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010838 Issued in IL
Practice address
834 N Seminary St
Ste 103
Galesburg, IL 61401-2852
Phone
(309) 829-5311
Fax
(309) 827-8027
NPI assigned
Aug 27, 2013
Last updated
Jul 6, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 1920 DT KY
Optometrist 152W00000X 046010838 IL Primary

Addresses

Primary practice location

834 N Seminary St
Ste 103
Galesburg, IL 61401-2852

Mailing address

1008 N Main St
Bloomington, IL 61701-1784
Phone (309) 829-5311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826002085 IL Practitioner - Optometry 3870711237 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyman Sicher Eye Associates SCGroup PAC ID 7911965801, 20 clinicians

Practice addresses (Care Compare)

93 Eastgate Dr
Washington, IL 61571-9271
Phone (309) 243-2400

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
95.34
Promoting interoperability
100
Improvement activities
40
Cost
73.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1920 DTKYMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyman Sicher Eye Associates SC Optometrist CurrentSince Feb 6, 2023 Accepting new patients
Wyman Sicher Eye Associates SC CurrentSince Feb 6, 2023 Accepting new patients

Locations

2709 Broadway St
Pekin, IL 61554
Phone (309) 243-2400

8921 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-2400

93 Eastgate Dr
Washington, IL 61571
Phone (309) 243-2400

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1377561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467763200000",
    "number": "1669806600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 N MAIN ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617011784",
            "telephone_number": "309-829-5311",
            "fax_number": "309-827-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "834 N SEMINARY ST",
            "address_2": "STE 103",
            "city": "GALESBURG",
            "state": "IL",
            "postal_code": "614012852",
            "telephone_number": "309-829-5311",
            "fax_number": "309-827-8027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EYLER",
        "first_name": "ELIZABETH",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-27",
        "last_updated": "2016-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "KY",
            "license": "1920 DT",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galesburg, IL

Sources for this page

Verify at the official NPI Registry.