Fireside Eye Care, P.C. in Benld - Optometrist
Fireside Eye Care, P.C. - NPI 1447448717
Fireside Eye Care, P.C. is a Optometrist in Benld, Illinois. Fireside Eye Care, P.C. practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Fireside Eye Care, P.C. is 1447448717. The last update date is 2012-08-13.
Fireside Eye Care, P.C.'s current location address is 600 S 8th St, Benld, Illinois. You can contact this provider via phone number 2178357724 and fax number 2178357611. The mailing address for Fireside Eye Care, P.C. is 600 S 8th St, Benld, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fireside Eye Care, P.C. |
|---|---|
| Address | 600 S 8th St, Benld, Illinois |
| Phone Number | 2178357724 |
| Fax Number | 2178357611 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Heddinghaus Shawna |
| Credentials | OD |
| Telephone Number | 2178357724 |
NPI Number Detail
| NPI Number | 1447448717 |
|---|---|
| Provider Enumeration Date | 2007-10-11 |
| Last Updated Date | 2012-08-13 |
Provider Mailing Address Detail
| Address | 600 S 8th St |
|---|---|
| City | Benld |
| State | Illinois (IL) |
| Post Code | 620091446 |
| Phone Number | 2178357724 |
| Fax Number | 2178357611 |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 46009181 |
|
Definition: Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 460091814 | IL | -- | |
| 5927400 | IL | BCBS | |
| P00184209 | IL | MEDICARE RR | |
| 419640 | IL | HEALTHLINK | |
| 5275510001 | IL | ADMINASTAR | |
| 210902 | IL | MEDICARE GROUP |
Post Comment/ Review Below
What is the Fireside Eye Care, P.C.'s 1447448717?
The Fireside Eye Care, P.C.'s NPI (National Provider Identifier) Number is 1447448717. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Fireside Eye Care, P.C. located?
The Fireside Eye Care, P.C. is located at 600 S 8Th St, Benld, IL 620091446.
What is the Fireside Eye Care, P.C.'s specialty and taxonomy code?
The Fireside Eye Care, P.C.'s specialty is Optometrist, and the corresponding taxonomy code is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1447448717 to Fireside Eye Care, P.C.?
The Centers for Medicare & Medicaid Services originally issued the 1447448717 to Fireside Eye Care, P.C. on 2007-10-11.
As of what date was the information regarding Fireside Eye Care, P.C., such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fireside Eye Care, P.C., including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2012-08-13.