Prairie Eye Center LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PRAIRIE EYE CENTER LTD

Practice address

2020 W Iles Ave
Springfield, IL 62704-4174

Phone

(217) 698-3030

Fax

(217) 321-2026

NPI assigned

Jul 27, 2015

Organization subpart

Yes

Parent organization

PRAIRIE EYE CENTER, LTDAs reported in NPPES

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

Authorized official

Name

Jason Lang

Title

Billing Administrator

Phone

(217) 698-3030

Specialties & licenses 2

Addresses

Other names 1

• Prairie Retina Center Doing business as

Tax ID family

Eye Care Prof of Hillsb2 organizations share this tax ID, including this one

Part of

Eye Care Prof of Hillsb

Other organizations with this tax ID 1

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

• Prairie Eye Center, LTD

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864
  NPD tax ID

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Prairie Eye Center, LTD

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1447222864
  NPPES parent name

Practitioners 2

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

• Sandra Yeh, MD

  • Ophthalmology Physician
  • Springfield, IL
  • NPI 1841248838
  NPD (past)
• Abdulrahman Khamiss Rageh, MD

  • Ophthalmology Physician
  • McAllen, TX
  • NPI 1770070146
  NPD (past)

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

{
    "created_epoch": "1437955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613520000000",
    "number": "1730564261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047015",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627044174",
            "telephone_number": "217-698-3030",
            "fax_number": "217-321-2026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAIRIE EYE CENTER LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PRAIRIE EYE CENTER, LTD",
        "enumeration_date": "2015-07-27",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A",
        "authorized_official_last_name": "LANG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "217-698-3030"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology, Retina Specialist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prairie Retina Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prairie Retina Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Amruta Pradhan
• Prairie Bleeding and Clotting Center
• Prairie Cardiovascular Consultants LTD
• Prairie Cardiovascular Consultants LTD
• Prairie Diagnostic Center, LLC
• Prairie Eye Center, LTD
• Prairie Podiatry L.L.C.
• Prairie Psychotherapy Associates, PC
• Prairie Sleep Center LLC
• Prairie Sleep Center LLC

• Ophthalmology Physician in Springfield, IL
• Providers in Springfield, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.