NPIMap

Organization Active NPI

Avc Optometry Inc

  • Optometrist
  • Columbia, IL
National Provider Identifier
1982348587
Registry record updated Apr 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AVC OPTOMETRY INC
Practice address
840 Admiral Weinel Blvd
Columbia, IL 62236-1992
Phone
(618) 543-0089
Fax
(855) 531-0054
NPI assigned
Apr 21, 2022
Last updated
Apr 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2022

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

Authorized official

Name
Joshua David WilsonNPI 1093740821
Title
Owner
Phone
(618) 327-3231

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
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

840 Admiral Weinel Blvd
Columbia, IL 62236-1992

Mailing address

840 Admiral Weinel Blvd
Columbia, IL 62236-1992
Phone (618) 543-0089

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 7

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": "1650499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650499200000",
    "number": "1982348587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 ADMIRAL WEINEL BLVD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361992",
            "telephone_number": "618-543-0089",
            "fax_number": "855-531-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 ADMIRAL WEINEL BLVD",
            "city": "COLUMBIA",
            "state": "IL",
            "postal_code": "622361992",
            "telephone_number": "618-543-0089",
            "fax_number": "855-531-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVC OPTOMETRY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-21",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "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"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.