Organization Active NPI

Macon County Eye Center PC

  • Ophthalmology Physician
  • Decatur, IL
National Provider Identifier
1932200094
Registry record updated Jul 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
060006631 Issued in IL
Legal business name
MACON COUNTY EYE CENTER PC
Practice address
646 W Pershing Rd
Decatur, IL 62526-1633
Phone
(217) 875-0300
Fax
(217) 875-9525
NPI assigned
Sep 25, 2006
Last updated
Jul 29, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2011

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

Authorized official

Name
Dr. Sushant K Sinha, D.O.NPI 1538260609
Title
Ceo Owner
Phone
(217) 875-0300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 060006631 IL Primary

Addresses

Primary practice location

646 W Pershing Rd
Decatur, IL 62526-1633

Mailing address

646 W Pershing Rd
Decatur, IL 62526-1633
Phone (217) 875-0300

National Provider Directory

National Provider Directory

Locations

1900 E Lake Shore Dr
Ste 310
Decatur, IL 62521
Phone (217) 423-7200

1601 Lafayette Ave
Mattoon, IL 61938
Phone (217) 234-3648

Practitioners & affiliated clinicians

Practitioners 11

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": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311897600000",
    "number": "1932200094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "646 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261633",
            "telephone_number": "217-875-0300",
            "fax_number": "217-875-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "646 W PERSHING RD",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625261633",
            "telephone_number": "217-875-0300",
            "fax_number": "217-875-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MACON COUNTY EYE CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2011-07-29",
        "status": "A",
        "authorized_official_last_name": "SINHA",
        "authorized_official_first_name": "SUSHANT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO OWNER",
        "authorized_official_telephone_number": "217-875-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "060006631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2011; 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.