Eye Care Professionals of Peru OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE PROFESSIONALS OF PERU OD PC

Practice address

1921 4TH St
Peru, IL 61354-3309

Phone

(815) 223-0151

Fax

(815) 223-0307

NPI assigned

Dec 20, 2005

Last updated

Feb 17, 2010By 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. Anthony P Williams, OD

Title

President

Phone

(815) 223-0151

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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.

• Chase N Ludford, OD

  • Optometrist
  • Peru, IL
  • NPI 1528945581
  Medicare reassignment Care Compare group NPD
• David J Ludford, OD

  • Optometrist
  • Peru, IL
  • NPI 1235115338
  Medicare reassignment Care Compare group NPD
• Michael J Rooney, OD

  • Optometrist
  • Peru, IL
  • NPI 1013993112
  Medicare reassignment Care Compare group NPD
• Allyson Lamkin, OD

  • Optometrist
  • Peru, IL
  • NPI 1497678890
  NPD

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266364800000",
    "number": "1699751701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543309",
            "telephone_number": "815-223-0151",
            "fax_number": "815-223-0307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1921 4TH ST",
            "city": "PERU",
            "state": "IL",
            "postal_code": "613543309",
            "telephone_number": "815-223-0151",
            "fax_number": "815-223-0307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE PROFESSIONALS OF PERU OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-20",
        "last_updated": "2010-02-17",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-223-0151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "05021930",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGIONB",
            "identifier": "0284470001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Marie Edgcomb, CADC
• Emerging Vision, Inc (Sterling Optical # 233)
• Elizabeth Mary Emmerling, LPN
• Andrea Erickson
• Eugene Becker MD SC
• Kayla Marie Fallen
• Family Foot Care PC
• Brenden Fasken
• Mark Allen Fernandez, M.D.
• Kassi Ann Filipiak, MSN, FNP-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.