Active NPI
DRS. Distin & Doyle, Optometrists
- Optometrist
- Aledo, IL
National Provider Identifier
1710190756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DRS. DISTIN & DOYLE, OPTOMETRISTS
- Practice address
- 2108 S. E 3D St
Aledo, IL 61231-9456 - Phone
- (309) 582-5673
- Fax
- (309) 582-5674
- NPI assigned
- May 7, 2007
- Last updated
- Oct 22, 2010
- 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
- Mary G Distin
- Title
- Office Manager
- Phone
- (309) 582-5673
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
2108 S. E 3D St
Aledo, IL 61231-9456
Mailing address
2108 S. E. Third St
Aledo, IL 61231-9456
Phone (309) 582-5673
National Provider Directory
National Provider DirectoryLocations
67 Public Sq
Monmouth, IL 61462
Phone (309) 734-3108
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287705600000",
"number": "1710190756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 S. E. THIRD ST",
"city": "ALEDO",
"state": "IL",
"postal_code": "612319456",
"telephone_number": "309-582-5673",
"fax_number": "309-582-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 S. E 3D ST",
"city": "ALEDO",
"state": "IL",
"postal_code": "612319456",
"telephone_number": "309-582-5673",
"fax_number": "309-582-5674"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. DISTIN & DOYLE, OPTOMETRISTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-07",
"last_updated": "2010-10-22",
"status": "A",
"authorized_official_last_name": "DISTIN",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "G",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "309-582-5673"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aledo, IL
- County of Mercer Hospital (Serenity Hospice)
- County of Mercer Hospital (Mercer County Hospital)
- County of Mercer Hospital
- County of Mercer Hospital (Mercer County Speciality Clinic)
- Kurt Doyle, LCSW
- Family Chiropractic Clinic of Viola, PC
- Amy L Feist, A.P.N
- Glenda E Foy, BS, DC
- Fresenius Medical Care Quad Cities, LLC (Fresenius Medical Care Aledo)
- Galva Family Dentistry, Inc. (Aledo Family Dentistry)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.