Montclaire Eye Associates

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.005901 Issued in IL

Legal business name

MONTCLAIRE EYE ASSOCIATES

Practice address

1514 Troy Rd Ste C
Edwardsville, IL 62025-2597

Phone

(618) 656-4658

Fax

(618) 692-4999

NPI assigned

Jun 18, 2010

Organization subpart

No

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

Authorized official

Name

Frederick W Schwager, O.D.

Title

Optometrist/Owner

Phone

(618) 656-4658

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1902127459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 TROY RD STE C",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252597",
            "telephone_number": "618-656-4658",
            "fax_number": "618-692-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1514 TROY RD STE C",
            "city": "EDWARDSVILLE",
            "state": "IL",
            "postal_code": "620252597",
            "telephone_number": "618-656-4658",
            "fax_number": "618-692-4999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTCLAIRE EYE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "SCHWAGER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST/OWNER",
        "authorized_official_telephone_number": "618-656-4658",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.005901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenda Mills
• Lynnette Kay Milner, MS, CCC-SLP-L
• Ellen Degen Milton, PT
• Andrea Marie Mohr
• Briana Molleck, BSN, RN
• Margaret Montibeller, APN, CNP
• Beau G Moody, DMD
• Lupana Regina Morales, ATC, LAT
• Kelly Colleen Morgan, RN
• Morning Glory Homecare LLC

• Optometrist in Edwardsville, IL
• Providers in Edwardsville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.