Active NPI
Advanced Vision Care LLC
- Optometrist
- Belleville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ADVANCED VISION CARE LLC
- Practice address
- 3540 N Belt W Ste C
Belleville, IL 62226-5975 - Phone
- (618) 235-4433
- NPI assigned
- Nov 8, 2017
- Last updated
- Nov 8, 2017
- Organization subpart
- Yes
- Parent organization
- ADVANCED VISION CARE LLC
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3540 N Belt W Ste C
Belleville, IL 62226-5975
Mailing address
250 E Elm St
Nashville, IL 62263-1710
Phone (618) 327-3231
National Provider Directory
National Provider Directory- Part of
- Advanced Vision Care LLC
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.
-
- Optometrist
- Nashville, IL
- NPI 1801168893
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.
-
- Optometrist
- Nashville, IL
- NPI 1093740821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510099200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1510099200000",
"number": "1912410390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 E ELM ST",
"city": "NASHVILLE",
"state": "IL",
"postal_code": "622631710",
"telephone_number": "618-327-3231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3540 N BELT W STE C",
"city": "BELLEVILLE",
"state": "IL",
"postal_code": "622265975",
"telephone_number": "618-235-4433"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED VISION CARE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED VISION CARE LLC",
"enumeration_date": "2017-11-08",
"last_updated": "2017-11-08",
"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": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.