NPIMap

Organization Active NPI

Granite City Eye Care, Inc.

  • Optician
  • Granite City, IL
National Provider Identifier
1952468993
Registry record updated Jul 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
GRANITE CITY EYE CARE, INC.
Practice address
3717 Nameoki Rd
Suite B
Granite City, IL 62040-3720
Phone
(618) 876-2438
Fax
(618) 876-2440
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2008

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

Authorized official

Name
Mrs. Lisa Michelle Cox
Title
President
Phone
(618) 876-2438

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X
Contact Lens FitterGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0801X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

3717 Nameoki Rd
Suite B
Granite City, IL 62040-3720

Mailing address

3717 Nameoki Rd
Suite B
Granite City, IL 62040-3720
Phone (618) 876-2438

Other names 1

  • Pearle Vision Center Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217203200000",
    "number": "1952468993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 NAMEOKI RD",
            "address_2": "SUITE B",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403720",
            "telephone_number": "618-876-2438",
            "fax_number": "618-876-2440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 NAMEOKI RD",
            "address_2": "SUITE B",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620403720",
            "telephone_number": "618-876-2438",
            "fax_number": "618-876-2440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANITE CITY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2008-07-28",
        "status": "A",
        "authorized_official_last_name": "COX",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "618-876-2438",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens Fitter",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Granite City, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; 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.