Organization Active NPI

Affordable Eyecare LLC

  • Optometrist
  • Fairview Heights, IL
National Provider Identifier
1831980127
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AFFORDABLE EYECARE LLC
Practice address
815 Lincoln Hwy Ste 103
Fairview Heights, IL 62208-2230
Phone
(618) 628-8868
Fax
(618) 628-3808
NPI assigned
May 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Alex Manera, ODNPI 1316284847
Title
Optometrist
Phone
(618) 628-8868

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

815 Lincoln Hwy Ste 103
Fairview Heights, IL 62208-2230

Mailing address

815 Lincoln Hwy Ste 103
Fairview Heights, IL 62208-2230
Phone (618) 628-8868

Other names 1

  • Total Eyewear Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251024000967 IL Part B Supplier - Clinic/Group Practice 1850889411 Receives reassigned benefits from 2 practitioners
Practice locations: Fairview Heights, IL

National Provider Directory

National Provider Directory

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": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1831980127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 LINCOLN HWY STE 103",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082230",
            "telephone_number": "618-628-8868",
            "fax_number": "618-628-3808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LINCOLN HWY STE 103",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082230",
            "telephone_number": "618-628-8868",
            "fax_number": "618-628-3808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "MANERA",
        "authorized_official_first_name": "ALEX",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "618-628-8868",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Eyewear",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fairview Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.