Individual provider Active NPI

James P Wilson, OD

  • Optometrist
  • Peoria, IL
National Provider Identifier
1952330425
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Practice address
2000 W Pioneer Pkwy
Suite 23
Peoria, IL 61615-1835
Phone
(309) 690-3336
NPI assigned
Jun 30, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

2000 W Pioneer Pkwy
Suite 23
Peoria, IL 61615-1835

Mailing address

2000 W Pioneer Pkwy
Suite 23
Peoria, IL 61615-1835
Phone (309) 690-3336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080221000385 IL Practitioner - Optometry 9335134386 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wyman Sicher Eye Associates SCGroup PAC ID 7911965801, 20 clinicians

Practice addresses (Care Compare)

8921 N Wood Sage Rd
Peoria, IL 61615-7822
Phone (309) 243-2400

Merit-based Incentive Payment System (MIPS)

Final score
97.5 of 100Reported as group
Quality
93.83
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046007757ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Wyman Sicher Eye Associates SC Optometrist CurrentSince Aug 1, 2025 Accepting new patients
Bond Eye Associates, SC Optometrist CurrentSince Nov 1, 2015 Accepting new patients
Wyman Sicher Eye Associates SC CurrentSince Aug 1, 2025 Accepting new patients
Bond Eye Associates, S.C. PastSince Nov 1, 2015 Accepting new patients

Locations

2709 Broadway St
Pekin, IL 61554
Phone (309) 243-2400

725 S 14th St
Pekin, IL 61554
Phone (309) 353-1579

8921 N Wood Sage Rd
Peoria, IL 61615
Phone (309) 243-2400

93 Eastgate Dr
Washington, IL 61571
Phone (309) 243-2400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: james.wilson.p1@direct.bondeye.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1952330425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY",
            "address_2": "SUITE 23",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151835",
            "telephone_number": "309-690-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W PIONEER PKWY",
            "address_2": "SUITE 23",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616151835",
            "telephone_number": "309-690-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILSON",
        "first_name": "JAMES",
        "middle_name": "P",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.