Decatur Eyecare Associates in Decatur - Optometrist
Decatur Eyecare Associates - NPI 1053572255
Decatur Eyecare Associates is a Optometrist in Decatur, Illinois. Decatur Eyecare Associates practices all healthcare services and medical treatments related to Optometrist. The NPI Number for Decatur Eyecare Associates is 1053572255. The last update date is 2008-06-19.
Decatur Eyecare Associates's current location address is 1270 S Jasper St, Decatur, Illinois. You can contact this provider via phone number 2174228032. The mailing address for Decatur Eyecare Associates is 1270 S Jasper St, Decatur, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Decatur Eyecare Associates |
|---|---|
| Address | 1270 S Jasper St, Decatur, Illinois |
| Phone Number | 2174228032 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OPTOMETRIS |
|---|---|
| Authorized Official Name | Bedford E Charles |
| Credentials | OD |
| Telephone Number | 2174228032 |
NPI Number Detail
| NPI Number | 1053572255 |
|---|---|
| Provider Enumeration Date | 2008-06-19 |
| Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
| Address | 1270 S Jasper St |
|---|---|
| City | Decatur |
| State | Illinois (IL) |
| Post Code | 625213531 |
| Phone Number | 2174228032 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Optometrist |
|---|---|
| Taxonomy | 152W00000X |
| Licence No | 467080 |
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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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 714680 | IL | MEDICARE ID | |
| 4095740001 | IL | DMERC MEDICARE | |
| 46007080 | IL | -- | |
| 5884011 | IL | BLUE CROSS AND SHIELD OF ILLIN | |
| 410017583 | IL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Decatur Eyecare Associates by the Centers for Medicare & Medicaid Services?
The Decatur Eyecare Associates has been assigned the NPI (National Provider Identifier) 1053572255. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Decatur Eyecare Associates?
The Decatur Eyecare Associates is physically situated at 1270 S Jasper St, in the city of Decatur, state of IL, with the postal code 625213531.
What is the area of specialization for Decatur Eyecare Associates, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Decatur Eyecare Associates is Optometrist, and the corresponding taxonomy code that categorizes this area of expertise is 152W00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053572255 to Decatur Eyecare Associates?
The Centers for Medicare & Medicaid Services assigned the 1053572255 to Decatur Eyecare Associates on 2008-06-19.
As of what date were the Decatur Eyecare Associates's details last updated?
The information pertaining to the Decatur Eyecare Associates, including its address, specialty, and other details, was most recently updated on 2008-06-19.