Dr Eric Botts & Associates LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR ERIC BOTTS & ASSOCIATES LLC

Practice address

1730 E Jackson St
Macomb, IL 61455-2531

Phone

(309) 836-3373

Fax

(309) 836-3375

NPI assigned

Jun 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eric Botts, ODNPI 1457301368

Title

Member

Phone

(309) 333-6344

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL, IA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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

• Eric Botts, O.D.

  • Optometrist
  • Macomb, IL
  • NPI 1457301368

  IA

  Medicare reassignment Care Compare group NPD Authorized official
• Pamela Jean Eilenfeldt, OD

  • Optometrist
  • Galesburg, IL
  • NPI 1114075645
  Medicare reassignment Care Compare group NPD
• Eric O'Brien, OD

  • Optometrist
  • West Burlington, IA
  • NPI 1386931921

  IL

  Medicare reassignment Care Compare group NPD
• Heidi M Haisley, OD

  • Optometrist
  • Quincy, IL
  • NPI 1710341060
  Medicare reassignment NPD

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487289600000",
    "number": "1710180922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 465",
            "address_2": "1730 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614550465",
            "telephone_number": "309-333-6344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 E JACKSON ST",
            "city": "MACOMB",
            "state": "IL",
            "postal_code": "614552531",
            "telephone_number": "309-836-3373",
            "fax_number": "309-836-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ERIC BOTTS & ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-06",
        "last_updated": "2017-02-17",
        "status": "A",
        "authorized_official_last_name": "BOTTS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "309-333-6344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca E Derry, MSED, NCC, LCPC
• Jon Karl Dively, DDS
• Diana Brook Dobier, PSYD LCP
• Nicholas D Doll, D.M.D.
• Kaylen Paige Dorich, LCSW
• Kristen Jean Draughan, LCSW
• Madhu Dukkipati, M.D.
• Nicole Christina Dziuba, PHARMD
• Troy D Eckman, M.D.
• Kathy Ann Eckroy, COTA/L

• Optometrist in Macomb, IL
• Providers in Macomb, 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, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.