Eric A Giebelhausen, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036051855 Issued in IL

Practice address

2000 W Morton Ave
Jacksonville, IL 62650-2623

Phone

(217) 245-6814

Fax

(217) 245-0375

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389657600000",
    "number": "1790715662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 W ILES AVE",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627047015",
            "telephone_number": "217-698-3030",
            "fax_number": "217-698-4728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W MORTON AVE",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502623",
            "telephone_number": "217-245-6814",
            "fax_number": "217-245-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIEBELHAUSEN",
        "first_name": "ERIC",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036051855",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036051855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036051855",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassidy K Gaudio, MSW, LCSW
• Terry Lee Geirnaeirt, ATC
• Michelle Lee Geiss, PMHNP
• Antonia J Genisio, LCPC
• Allen G Gerberding, M.D.
• Jordan Amanda Gill, LSW
• Gillespie 694140
• Go Greene Orthopedics LLC
• Golden Moments Senior Care Center LTD
• Eli G Goodman, MD

• Ophthalmology Physician in Jacksonville, IL
• Providers in Jacksonville, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.