Central Illinois Vision Center
LBN: Center For Sight Of Central Illinois Sc
Central Illinois Vision Center is an health care organization with primary practice located at 2442 N Route 121 , Decatur IL 62526-9461. The organization recently has 4 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Eye and Vision Services Providers / Corneal and Contact Management, Allopathic & Osteopathic Physicians / Ophthalmology, Suppliers / Durable Medical Equipment & Medical Supplies. Allopathic & Osteopathic Physicians / Ophthalmology is the primary health care specialty.
Center For Sight Of Central Illinois Sc can be contacted via phone (217) 233-3101, or through Deranian, Marcus S via phone (217) 233-3101.
Contact Information
Primary practice address
2442 N Route 121
Decatur IL 62526-9461
Phone: (217) 233-3101
Fax: (217) 233-3107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046009767 | Illinois |
| Eye and Vision Services Providers / Corneal and Contact Management | 152WC0802X | 036069820 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036069820 | Illinois |
| Suppliers / Durable Medical Equipment & Medical Supplies | 332B00000X | 036069820 | Illinois |
Profile Details
| NPI number | 1093854820 |
|---|---|
| LBN Legal business name | Center For Sight Of Central Illinois Sc |
| DBA Doing business as | Central Illinois Vision Center |
| Authorized official | Deranian, Marcus S Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 6th, 2007 |
| Last updated | Apr 24th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093854820 | NPPES |
| Illinois | MEDICAID | 036069820 | |
| Illinois | Other | 180033361 | |
| Illinois | Other | 05822331 |
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