John P Gysin OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

0046007961 Issued in IL

Legal business name

JOHN P GYSIN OD

Practice address

5901 N Prospect Rd Ste 11
Peoria, IL 61614-4337

Phone

(309) 692-2525

Fax

(309) 692-2584

NPI assigned

Apr 29, 2009

Last updated

Sep 21, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John P GysinNPI 1598757304

Title

Owner

Phone

(309) 692-2525

Specialties & licenses 1

Addresses

Locations

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.

• John Phillip Gysin, O.D.

  • Optometrist
  • Peoria, IL
  • NPI 1598757304
  Authorized official Same address or phone

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

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348185600000",
    "number": "1922242379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 N PROSPECT RD STE 11",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144337",
            "telephone_number": "309-692-2525",
            "fax_number": "309-692-2584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 N PROSPECT RD STE 11",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616144337",
            "telephone_number": "309-692-2525",
            "fax_number": "309-692-2584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN P GYSIN OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2012-09-21",
        "status": "A",
        "authorized_official_last_name": "GYSIN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "309-692-2525",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046007961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Jijo
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• John B. Dale, DMD, Ms, P.C.
• John C. Proctor Endowment
• John Day & Associates, LTD
• Jisha M John, PHARM D.
• Johnson Family Chiropractic of Peoria, PC
• Amanda J Johnson, SPEECH THERAPIST
• Amirah Johnson
• Amy C Johnson, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.