Center For Sight Central Il I Sc

LBN: Center For Sight Central Il I Sc
Center For Sight Central Il I Sc is an health care organization with primary practice located at 304 W Hay St Suite 311, Decatur IL 62526-6328. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty. Center For Sight Central Il I Sc can be contacted via phone (217) 877-5050, or through Alward, Phillip D via phone (217) 877-5050.

Contact Information

Primary practice address
304 W Hay St Suite 311 Decatur IL 62526-6328
Fax: (217) 877-9711
Website:
Authorized official contact:
Name: Alward, Phillip D Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046008823 Illinois
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036054803 Illinois

Profile Details

NPI number 1174667448
LBN Legal business name Center For Sight Central Il I Sc
DBA Doing business as
Authorized official Alward, Phillip D Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 19th, 2007
Last updated Sep 23rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174667448 NPPES
Illinois MEDICAID 036054803
Illinois MEDICAID 046008823
Illinois Other 05815176
Illinois Other 180022789

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