Prairie Eye Center, LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PRAIRIE EYE CENTER, LTD

Practice address

960 E Mound Rd
Decatur, IL 62526-2099

Phone

(217) 877-5050

Fax

(217) 877-9711

NPI assigned

Feb 17, 2021

Last updated

Feb 17, 2021By the provider in NPPES

Organization subpart

Yes

Parent organization

PRAIRIE EYE CENTER, LTDAs reported in NPPES

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

Authorized official

Name

Jason Lang

Title

Billing Administrator

Phone

(217) 698-3030

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Prairie Eye Center, LTD

  • Optometrist
  • Lincoln, IL
  • NPI 1366035644

  O20031111000811

  Same enrollment
• Prairie Eye Center, LTD

  dba Prairie Eye & Lasik Center

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864

  O20031111000811

  Same enrollment

Part of

Eye Care Prof of Hillsb

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prairie Eye Center, LTD

  dba Prairie Eye & Lasik Center

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864
  NPPES parent name

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.

• Kaleigh Morgan Albers, OD

  • Optometrist
  • Jacksonville, IL
  • NPI 1477252948
  NPD
• Melissa Schleeper Kiel, M.D.

  • Ophthalmology Physician
  • Swansea, IL
  • NPI 1750511242
  NPD

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

{
    "created_epoch": "1613520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1679166953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044174",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-3068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "960 E MOUND RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625262099",
            "telephone_number": "217-877-5050",
            "fax_number": "217-877-9711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE EYE CENTER, LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE EYE CENTER, LTD",
        "enumeration_date": "2021-02-17",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "217-698-3030"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manjeshwar B. Prabhu, M.D.
• Practice Management Associates LLC (Elite Care Center)
• Prairie Compounding Pharmacies Corporation (Prairie Compounding Pharmacy)
• Prairie Creek Village, LLC
• Prairie Emergency Physicians, LLP
• Prairie Oncology Management Services Pharmacy
• Prairieland Service Coordination Inc
• Rita A Prater Crouch, CRNA
• Preferred Covid Solutions LLC
• Julie Marie Preston, PA-C

• Ophthalmology Physician in Decatur, IL
• Providers in Decatur, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.