Organization Active NPI

Innovative Eye Care Solutions, LTD.

  • Optometrist
  • Belleville, IL
National Provider Identifier
1811088404
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
6009155 Issued in IL
Legal business name
INNOVATIVE EYE CARE SOLUTIONS, LTD.
Practice address
22 N Jackson St
Belleville, IL 62220-1425
Phone
(618) 233-1270
NPI assigned
Sep 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Authorized official

Name
Dr. William Vernon Ritzel, O.D.NPI 1699763458
Title
President
Phone
(618) 233-1270

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 6009155 IL Primary

Addresses

Primary practice location

22 N Jackson St
Belleville, IL 62220-1425

Mailing address

22 N Jackson St
Belleville, IL 62220-1425
Phone (618) 233-1270

Other identifiers 1

IdentifierTypeStateIssuer
211358OtherILMEDICARE GROUP

Other names 1

  • Belleville Optometrists, Ltd. Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050407000552 IL Part B Supplier - Clinic/Group Practice 9234186628 Receives reassigned benefits from 2 practitioners
Practice locations: Belleville, IL
O20100930073865 IL DME Supplier - Physician - Optometrist 9234186628 Practice locations: Belleville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Innovative Eye Care Solutions LTD22 N Jackson St, Belleville, IL 62220-1425(618) 233-1270 Prosthetic Lenses: Conventional Eyeglasses|Prosthetic Lenses: Conventional Contact Lenses|Prosthetic Lenses: Prosthetics Cataract Lenses Accepts assignmentParticipating since May 1, 2005

National Provider Directory

National Provider Directory

Locations

22 N Jackson St
Belleville, IL 62220
Phone (618) 233-1270

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289347200000",
    "number": "1811088404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 N JACKSON ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201425",
            "telephone_number": "618-233-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 N JACKSON ST",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622201425",
            "telephone_number": "618-233-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE EYE CARE SOLUTIONS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2010-11-10",
        "status": "A",
        "authorized_official_last_name": "RITZEL",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "VERNON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-233-1270",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "6009155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "211358",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belleville Optometrists, Ltd.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belleville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.