NPIMap

Organization Active NPI

Christina J. Levi O D P C

Doing business as IEC -Jacksonville

  • Optometrist
  • Jacksonville, IL
National Provider Identifier
1902661747
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHRISTINA J. LEVI O D P C
Doing business as
IEC -Jacksonville
Practice address
1233 W Morton Ave Ste C
Jacksonville, IL 62650-2774
Phone
(217) 245-8800
Fax
(314) 741-4947
NPI assigned
Feb 20, 2024
Last updated
Feb 20, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
CHRISTINA J. LEVI O D P CAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Authorized official

Name
Dr. Christina J. LeviNPI 1417924648
Title
Owner
Phone
(618) 462-9818

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X Primary

Addresses

Primary practice location

1233 W Morton Ave Ste C
Jacksonville, IL 62650-2774

Mailing address

111 E 4TH St Ste 440
Alton, IL 62002-6206
Phone (618) 462-9818

Other names 1

  • IEC -Jacksonville Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Jennifer R Brave OD PC8 organizations share this tax ID, including this one
Part of
Jennifer R Brave OD PC

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1233 W Morton Ave
Ste C
Jacksonville, IL 62650
Phone (217) 245-8800

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1708387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708387200000",
    "number": "1902661747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 4TH ST STE 440",
            "city": "ALTON",
            "state": "IL",
            "postal_code": "620026206",
            "telephone_number": "618-462-9818",
            "fax_number": "314-741-4947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1233 W MORTON AVE STE C",
            "city": "JACKSONVILLE",
            "state": "IL",
            "postal_code": "626502774",
            "telephone_number": "217-245-8800",
            "fax_number": "314-741-4947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTINA J. LEVI O D P C",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHRISTINA J. LEVI O D P C",
        "enumeration_date": "2024-02-20",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A",
        "authorized_official_last_name": "LEVI",
        "authorized_official_first_name": "CHRISTINA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-462-9818",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IEC -Jacksonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jacksonville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2024; 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.