Eyes on Main PLLC
Organization Active NPI Optometrist · Marshall, IL
NPI 1841065950 · NPPES record last updated Jan 3, 2024
Key facts
- NPI
- 1841065950
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- Legal business name
- EYES ON MAIN PLLC
- Practice address
- 608 Archer Ave
Marshall, IL 62441-1268 - Phone
- (618) 819-0308
- Fax
- (618) 819-0307
- NPI assigned
- Nov 17, 2023
- Organization subpart
- No
Authorized official
- Name
- Dr. Erin Renee Switzer, OD
- Title
- Optometrist
- Phone
- (812) 890-6477
Practitioners 1
-
Erin R Switzer, OD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240423002160 | IL | Part B Supplier - Clinic/Group Practice | 5092154096 |
Receives reassigned benefits from 1 practitioner Practice locations: Marshall, IL |
National Provider Directory
Locations
608 Archer Ave
Marshall, IL 62441
Phone (618) 819-0308
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | Yes |
Addresses
Primary practice location
608 Archer Ave
Marshall, IL 62441-1268
Mailing address
608 Archer Ave
Marshall, IL 62441-1268
Phone (618) 819-0308
Other providers in Marshall, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.