Eyecare Management LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYECARE MANAGEMENT LLC

Doing business as

Illinois Eye Surgeons

Practice address

12 Professional Park Dr
Maryville, IL 62062-5672

Phone

(618) 288-7266

Fax

(618) 288-4583

NPI assigned

Jan 18, 2007

Last updated

Sep 15, 2011By 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

Sandy Cummins

Title

Insurance Administrator

Phone

(618) 310-2255

Specialties & licenses 1

Addresses

Other names 1

• Illinois Eye Surgeons Doing business as

Tax ID family

Eyecare Management LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Eyecare Management, LLC

  dba Illinois Eye Surgeons

  • Optometrist
  • Collinsville, IL
  • NPI 1457686057
  NPD tax ID
• Eyecare Management, LLC

  • Optometrist
  • Centralia, IL
  • NPI 1548276306
  NPD tax ID

Locations

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316044800000",
    "number": "1700938578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3990 N ILLINOIS ST",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622261919",
            "telephone_number": "618-277-1130",
            "fax_number": "618-277-4917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PROFESSIONAL PARK DR",
            "city": "MARYVILLE",
            "state": "IL",
            "postal_code": "620625672",
            "telephone_number": "618-288-7266",
            "fax_number": "618-288-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2011-09-15",
        "status": "A",
        "authorized_official_last_name": "CUMMINS",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "INSURANCE ADMINISTRATOR",
        "authorized_official_telephone_number": "618-310-2255"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Illinois Eye Surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Elmwood Nursing & Rehabilitation Center, L.L.C.
• Andrew English, DDS
• Sheena D Eslinger, FNP-BC
• Amanda M Eversgerd
• Eye Surgery Center of Maryville LLC (Eyes of Illinois Surgery Center)
• Abby Fabela
• Fairview Heights Medical Group SC (The Heart Care Group)
• Christopher Farrar, M.D.
• Thomas Fay
• Tayler Rae Fazil, AUD

• Durable Medical Equipment & Medical Supplies in Maryville, IL
• Providers in Maryville, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.