Active NPI
Alliance Eyecare, Inc.
- Optometrist
- Bloomington, IL
National Provider Identifier
1710042643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ALLIANCE EYECARE, INC.
- Practice address
- 1228 Towanda Ave
Bloomington, IL 61701-3469 - Phone
- (309) 828-7723
- NPI assigned
- Dec 22, 2006
- Last updated
- Oct 16, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brenda A Russell
- Title
- Assistant Comptroller
- Phone
- (309) 828-7723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
1228 Towanda Ave
Bloomington, IL 61701-3469
Mailing address
1228 Towanda Ave
Bloomington, IL 61701-3469
Phone (309) 828-7723
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05732032 | Other | IL | BLUE CROSS BLUE SHIELD |
| 4718410001 | Other | DMERC |
National Provider Directory
National Provider DirectoryLocations
1228 Towanda Ave
Bloomington, IL 61701
Phone (309) 662-3937
Practitioners & affiliated clinicians
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.
-
- Ophthalmology Physician
- Bloomington, IL
- NPI 1346245792
-
- Ophthalmology Physician
- Pekin, IL
- NPI 1184653644
-
- Optometrist
- Normal, IL
- NPI 1629004767
-
- Optometrist
- Bloomington, IL
- NPI 1669401139
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192492800000",
"number": "1710042643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1228 TOWANDA AVE",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013469",
"telephone_number": "309-828-7723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1228 TOWANDA AVE",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617013469",
"telephone_number": "309-828-7723"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLIANCE EYECARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2007-10-16",
"status": "A",
"authorized_official_last_name": "RUSSELL",
"authorized_official_first_name": "BRENDA",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ASSISTANT COMPTROLLER",
"authorized_official_telephone_number": "309-828-7723"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "05732032",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMERC",
"identifier": "4718410001",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IL
- Align Services Bloomington PLLC
- All Ways Caring Services, Inc.
- All Ways Caring Services, Inc. (All Ways Caring HomeCare)
- Paula Allee-Smith, PHD
- Otis George Allen, M.D.
- Alliance Healthcare Services Inc
- Allmond Eyecare, LLC
- Allyson Hawkins, PH.D. Professional Counseling Services
- Nicole Dawn Almeida, NP
- Kara Alt
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.