Active NPI
Avc Optometry Inc
- Optometrist
- Freeburg, IL
National Provider Identifier
1831772292
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- AVC OPTOMETRY INC
- Practice address
- 1200 N State St
Freeburg, IL 62243-4012 - Phone
- (618) 539-5620
- Fax
- (618) 539-6229
- NPI assigned
- May 4, 2021
- Organization subpart
- Yes
- Parent organization
- AVC OPTOMETRY INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joshua David Wilson, OD
- Title
- Owner
- Phone
- (618) 327-3231
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1200 N State St
Freeburg, IL 62243-4012
Mailing address
1200 N State St
Freeburg, IL 62243-4012
Phone (618) 539-5620
Other names 1
- Advanced Vision Care
National Provider Directory
National Provider Directory- Part of
- Avc Optometry Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620086400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1620086400000",
"number": "1831772292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622434012",
"telephone_number": "618-539-5620",
"fax_number": "618-539-6229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"city": "FREEBURG",
"state": "IL",
"postal_code": "622434012",
"telephone_number": "618-539-5620",
"fax_number": "618-539-6229"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AVC OPTOMETRY INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "AVC OPTOMETRY INC",
"enumeration_date": "2021-05-04",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A",
"authorized_official_last_name": "WILSON",
"authorized_official_first_name": "JOSHUA",
"authorized_official_middle_name": "DAVID",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "618-327-3231",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Vision Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Freeburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.