NPIMap

Organization Active NPI

Mt Carmel Eyecare

  • Eyewear Supplier
  • Mount Carmel, IL
National Provider Identifier
1790924884
Registry record updated Feb 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
046008793 Issued in IL
Legal business name
MT CARMEL EYECARE
Practice address
715 Chestnut St
Mount Carmel, IL 62863-1454
Phone
(618) 263-3362
Fax
(618) 263-6001
NPI assigned
Feb 12, 2009
Organization subpart
Yes
Parent organization
OPTOMETRIC EYECARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 12, 2009

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

Authorized official

Name
Mr. John R Williams
Title
Office Manager
Phone
(618) 263-3362

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 046008793 IL Primary

Addresses

Primary practice location

715 Chestnut St
Mount Carmel, IL 62863-1454

Mailing address

715 Chestnut St
Mount Carmel, IL 62863-1454
Phone (618) 263-3362

National Provider Directory

National Provider Directory
Tax ID family
Mt Carmel Eyecare3 organizations share this tax ID, including this one
Part of
Mt Carmel Eyecare

Other organizations with this tax ID 2

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

Locations

715 Chestnut St
Mount Carmel, IL 62863
Phone (618) 263-3362

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1234396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234396800000",
    "number": "1790924884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 CHESTNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631454",
            "telephone_number": "618-263-3362",
            "fax_number": "618-263-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 CHESTNUT ST",
            "city": "MOUNT CARMEL",
            "state": "IL",
            "postal_code": "628631454",
            "telephone_number": "618-263-3362",
            "fax_number": "618-263-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT CARMEL EYECARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OPTOMETRIC EYECARE INC.",
        "enumeration_date": "2009-02-12",
        "last_updated": "2009-02-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "618-263-3362",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046008793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Carmel, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2009; 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.