NPIMap

Organization Active NPI

Kresca Eye Clinic,LTD.

  • Ophthalmology Physician
  • Champaign, IL
National Provider Identifier
1700927597
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
060.000856 Issued in IL
Legal business name
KRESCA EYE CLINIC,LTD.
Practice address
2011 Round Barn Rd
Champaign, IL 61821-6825
Phone
(217) 356-2557
NPI assigned
Feb 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Dr. Linda Jean Kresca, M.D.
Title
Secretary
Phone
(630) 893-8980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 060.000856 IL Primary

Addresses

Primary practice location

2011 Round Barn Rd
Champaign, IL 61821-6825

Mailing address

2011 Round Barn Rd
Champaign, IL 61821-6825
Phone (217) 356-2557

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1700927597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2011 ROUND BARN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216825",
            "telephone_number": "217-356-2557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2011 ROUND BARN RD",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618216825",
            "telephone_number": "217-356-2557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRESCA EYE CLINIC,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-12",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "KRESCA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-893-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "060.000856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Champaign, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2008; 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.