International Eyecare Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INTERNATIONAL EYECARE CENTER LLC

Practice address

2445 Broadway St
Quincy, IL 62301-3257

Phone

(217) 222-9207

Fax

(217) 641-0028

NPI assigned

Jul 26, 2006

Last updated

Apr 8, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Melissa K Allison

Title

Sr. Director, MVC/RCM

Phone

(618) 462-9818

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO, IL, IA, NE4 enrollments

Enrollment records 4

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• International Eyecare Center, Inc

  • Optometrist
  • Fulton, MO
  • NPI 1235455320

  O20050208000641

  Same enrollment

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

Medicare medical equipment & supply locations

Locations

Practitioners 63

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.

• Mason M Garbs, OD

  • Optometrist
  • Quincy, IL
  • NPI 1548908072

  MO

  Medicare reassignment Care Compare group NPD
• William Rae Adler, OD

  • Vision Therapy Optometrist
  • Albia, IA
  • NPI 1457444200

  MO

  Medicare reassignment Care Compare group NPD
• Daniel Wallace Alletto, OD

  • Optometrist
  • Centerville, IA
  • NPI 1043668700
  Medicare reassignment Care Compare group NPD
• Logan Arnold Blowers

  • Optometrist
  • Lincoln, NE
  • NPI 1558125302
  Medicare reassignment Care Compare group NPD
• Alan P Eschmann, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1881888238
  Medicare reassignment Care Compare group NPD
• Stephen M Felt, O.D.

  • Optometrist
  • Omaha, NE
  • NPI 1144229543
  Medicare reassignment Care Compare group NPD
• Stephen Philip Gildersleeve, O.D.

  • Optometrist
  • Lincoln, NE
  • NPI 1861706509
  Medicare reassignment Care Compare group NPD
• Nicole Jerolyn Graham

  • Optometrist
  • Lincoln, NE
  • NPI 1528822376
  Medicare reassignment Care Compare group NPD
• Tara Rose Guinn, OD

  • Optometrist
  • Kirksville, MO
  • NPI 1316586985

  IA

  Medicare reassignment Care Compare group NPD
• Mathieu Hill

  • Optometrist
  • Kirksville, MO
  • NPI 1760286777
  Medicare reassignment Care Compare group NPD
• Thomas Norman Johnson, O.D.

  • Optometrist
  • Centerville, IA
  • NPI 1053363390
  Medicare reassignment Care Compare group NPD
• Kirk C. Maynard, OD

  • Optometrist
  • Omaha, NE
  • NPI 1902891096
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649376000000",
    "number": "1760405047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026241",
            "telephone_number": "618-604-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2445 BROADWAY ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623013257",
            "telephone_number": "217-222-9207",
            "fax_number": "217-641-0028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL EYECARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-04-08",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "ALLISON",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SR. DIRECTOR, MVC/RCM",
        "authorized_official_telephone_number": "618-462-9818"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "530654904",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Osaretin B Idusuyi, MD
• Illinois Mentor (Quincy Site 014075)
• Illinois Veterans Home at Quincy
• Integrity Community Transport LLC
• Integrity Secure Transport LLC
• Penni L Ippensen, LCSW
• Muhammad Sami Iqbal, M.D.
• Owais M Iqbal, MD
• Shawn Markle Irvine, DC CHIROPRACTOR
• J a K Enterprises Inc (Bard Optical)

• Optometrist in Quincy, IL
• Providers in Quincy, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2022; 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.