Organization Active NPI

Anderson Eye Associates, LTD

  • Specialist
  • Savoy, IL
National Provider Identifier
1790855831
Registry record updated Sep 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
042618867 Issued in IL
Legal business name
ANDERSON EYE ASSOCIATES, LTD
Practice address
411 Clarendon Ave
Suite 103
Savoy, IL 61874
Phone
(217) 355-7947
Fax
(217) 355-8047
NPI assigned
Nov 8, 2006
Last updated
Sep 8, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2008

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

Authorized official

Name
Bette AndersonNPI 1386612927
Title
President
Phone
(708) 623-8213

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
Specialist 174400000X 042618867 IL Primary

Addresses

Primary practice location

411 Clarendon Ave
Suite 103
Savoy, IL 61874

Mailing address

713 W Oregon St
Urbana, IL 61801-4047
Phone (708) 623-8213

National Provider Directory

National Provider Directory

Locations

2902 Crossing Ct
Ste E
Champaign, IL 61822
Phone (217) 355-7494

3015 Village Office Pl
Champaign, IL 61822
Phone (217) 355-7494

411 N Clarendon Ct
Ste 103
Savoy, IL 61874
Phone (708) 623-8213

501 N Dunlap Ave
Ste 102
Savoy, IL 61874
Phone (217) 355-7947

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": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220832000000",
    "number": "1790855831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 W OREGON ST",
            "city": "URBANA",
            "state": "IL",
            "postal_code": "618014047",
            "telephone_number": "708-623-8213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 CLARENDON AVE",
            "address_2": "SUITE 103",
            "city": "SAVOY",
            "state": "IL",
            "postal_code": "61874",
            "telephone_number": "217-355-7947",
            "fax_number": "217-355-8047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON EYE ASSOCIATES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-09-08",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "BETTE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-623-8213"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "042618867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savoy, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2008; 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.