Eye Care Management, LLC
Organization Active NPI Optometrist · Carlyle, IL
NPI 1992999890 · NPPES record last updated Dec 2, 2014
Key facts
- NPI
- 1992999890
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Optometrist 152W00000X
- License
- 036104178 (IL)
- Legal business name
- EYE CARE MANAGEMENT, LLC
- Practice address
- 991 Fairfax St
Carlyle, IL 62231-1811 - Phone
- (618) 594-2663
- Fax
- (618) 594-1322
- NPI assigned
- Sep 4, 2007
- Organization subpart
- No
Authorized official
- Name
- Bart Aaron Jones, M.D.
- Title
- Owner
- Phone
- (618) 532-1082
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 036104178 | IL | Yes |
Addresses
Primary practice location
991 Fairfax St
Carlyle, IL 62231-1811
Mailing address
3990 N Illinois St
Swansea, IL 62226-1919
Phone (618) 277-1130
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036104178 | Medicaid | IL |
Other names
- Quantum Vision Centers
Other providers in Carlyle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 2, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.