Active NPI
Avc Optometry Inc
Doing business as Advanced Vision Care
- Optometrist
- O'Fallon, IL
National Provider Identifier
1740863109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- AVC OPTOMETRY INC
- Doing business as
- Advanced Vision Care
- Practice address
- 821 W Highway 50
O Fallon, IL 62269-1828 - Phone
- (618) 464-0199
- Fax
- (844) 682-0361
- NPI assigned
- May 4, 2021
- Last updated
- May 4, 2021
- Organization subpart
- Yes
- Parent organization
- AVC OPTOMETRY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua David Wilson, OD
- Title
- Owner
- Phone
- (618) 327-3231
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
821 W Highway 50
O Fallon, IL 62269-1828
Mailing address
821 W Highway 50
O Fallon, IL 62269-1828
Phone (618) 464-0199
Other names 1
- Advanced Vision Care
National Provider Directory
National Provider Directory- Part of
- Avc Optometry Inc
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Optometrist
- Nashville, IL
- NPI 1093740821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1740863109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "821 W HIGHWAY 50",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691828",
"telephone_number": "618-464-0199",
"fax_number": "844-682-0361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 W HIGHWAY 50",
"city": "O FALLON",
"state": "IL",
"postal_code": "622691828",
"telephone_number": "618-464-0199",
"fax_number": "844-682-0361"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVC OPTOMETRY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AVC OPTOMETRY INC",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-327-3231",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Vision Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in O'Fallon, IL
- Associated Pediatric Dentistry, LLC
- Associated Physicians Group
- Associated Physicians Group LTD
- Associated Physicians Group, LTD
- Associated Vision Care, LTD (Lakepointe Vision Care)
- Alan T Azar
- B.F. Sakran, M.D., P.C.
- Karlee M Bachmann, BCBA
- Justin Lee Baecht, CRNA
- Leah Marie Baecht, DNP, CRNA, APRN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.