Illinois Eye Specialists

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

336017108 Issued in IL

Legal business name

ILLINOIS EYE SPECIALISTS

Practice address

2421 Corporate Ctr Ste 102
Granite City, IL 62040-4195

Phone

(618) 931-6980

Fax

(618) 931-2470

NPI assigned

Apr 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward A Doisy III, M.D.

Title

President

Phone

(618) 931-6980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1710105101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 CORPORATE CTR STE 102",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404195",
            "telephone_number": "618-931-6980",
            "fax_number": "618-931-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 CORPORATE CTR STE 102",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404195",
            "telephone_number": "618-931-6980",
            "fax_number": "618-931-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ILLINOIS EYE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "DOISY",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-931-6980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "336017108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roberta June Hughes, APN
• Sherry Ann Huskamp, LPN
• Linda Hylla, LCSW
• Joan Frances Hynek, APN
• Illinois Ear, Nose and Throat Associates, P.C
• Illinois/Indiana Em-I Medical Services, SC
• Megan M Ingersoll, RN, CRNA
• Kyle Brandon Ingram, PHARMD
• Interventional Pain Management Services LLC
• Interventional Pain Management Services LLC

• Ophthalmology Physician in Granite City, IL
• Providers in Granite City, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2012; 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.