Organization Active NPI

Vision Health Eyecare Center LTD

  • Clinic/Center
  • Sandwich, IL
National Provider Identifier
1760653158
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
VISION HEALTH EYECARE CENTER LTD
Practice address
823 E Church St Ste B
Sandwich, IL 60548-1890
Phone
(815) 786-6393
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2018

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

Authorized official

Name
Dr. William R Skutta, O.D.NPI 1053430801
Title
Owner
Phone
(815) 786-6393

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

823 E Church St Ste B
Sandwich, IL 60548-1890

Mailing address

823 E Church St Ste B
Sandwich, IL 60548-1890
Phone (815) 786-6393

National Provider Directory

National Provider Directory

Locations

715 Washington St
Mendota, IL 61342
Phone (815) 539-9992

823 E Church St
Ste B
Sandwich, IL 60548
Phone (815) 786-6369

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521590400000",
    "number": "1760653158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 E CHURCH ST STE B",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481890",
            "telephone_number": "815-786-6393",
            "fax_number": "815-786-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 E CHURCH ST STE B",
            "city": "SANDWICH",
            "state": "IL",
            "postal_code": "605481890",
            "telephone_number": "815-786-6393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION HEALTH EYECARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2018-03-21",
        "status": "A",
        "authorized_official_last_name": "SKUTTA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-786-6393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandwich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; 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.