Organization Active NPI

Center for Sight & Hearing

  • Exclusive Provider Organization
  • Rockford, IL
National Provider Identifier
1790189462
Registry record updated Oct 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
1053487942 Issued in IL
Legal business name
CENTER FOR SIGHT & HEARING
Practice address
8038 Macintosh LN
Rockford, IL 61107-5300
Phone
(815) 332-6800
NPI assigned
Oct 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2014

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

Authorized official

Name
Diane Jones
Title
President
Phone
(815) 332-6801

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 1053487942 IL Primary

Addresses

Primary practice location

8038 Macintosh LN
Rockford, IL 61107-5300

Mailing address

8038 Macintosh LN
Rockford, IL 61107-5300

Other identifiers 1

IdentifierTypeStateIssuer
1053487942MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Center for Sight and Hearing2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

8038 Macintosh Ln
Rockford, IL 61107
Phone (815) 332-6800

NPI Registry JSON

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

{
    "created_epoch": "1412812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412812800000",
    "number": "1790189462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8038 MACINTOSH LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8038 MACINTOSH LN",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075300",
            "telephone_number": "815-332-6800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR SIGHT & HEARING",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-09",
        "last_updated": "2014-10-09",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-332-6801"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "IL",
            "license": "1053487942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053487942",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 9, 2014; 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.