Active NPI
New Vision of Illinois, LLC
Doing business as Brightbill-Ericson Eye Associates
- Ophthalmology Physician
- Rockford, IL
National Provider Identifier
1760489785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- NEW VISION OF ILLINOIS, LLC
- Doing business as
- Brightbill-Ericson Eye Associates
- Practice address
- 2929 McFarland Road
Rockford, IL 61107 - Phone
- (815) 654-2020
- Fax
- (815) 654-0393
- NPI assigned
- Jul 5, 2005
- Last updated
- Aug 22, 2020
- 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
- Dr. Frederick Stamm Brightbill, MD
- Title
- Medical Director
- Phone
- (815) 654-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
2929 McFarland Road
Rockford, IL 61107
Mailing address
2929 McFarland Road
Rockford, IL 61107
Phone (815) 654-2020
Other names 1
- Brightbill-Ericson Eye Associates
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Brightbill-Ericson Eye Associates
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 6
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
- Rockford, IL
- NPI 1922248996
-
- Optometrist
- Rockford, IL
- NPI 1205833225
-
- Optometrist
- Rockford, IL
- NPI 1649260449
-
- Ophthalmology Physician
- Rockford, IL
- NPI 1740470301
-
- Corneal and Contact Management Optometrist
- Rockford, IL
- NPI 1497870778
-
- Ophthalmology Physician
- Rockford, IL
- NPI 1750304952
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120521600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760489785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 MCFARLAND ROAD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61107",
"telephone_number": "815-654-2020",
"fax_number": "815-654-0393"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2929 MCFARLAND ROAD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "61107",
"telephone_number": "815-654-2020",
"fax_number": "815-654-0393"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW VISION OF ILLINOIS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BRIGHTBILL",
"authorized_official_first_name": "FREDERICK",
"authorized_official_middle_name": "STAMM",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "815-654-2020",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Brightbill-Ericson Eye Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.