Advanced Eyecare Of Taylorville

LBN: Central Illinois Optometric Associates Ltd
Advanced Eyecare Of Taylorville is an health care organization with primary practice located at 900 W Springfield Rd , Taylorville IL 62568-1213. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty. Central Illinois Optometric Associates Ltd can be contacted via phone (217) 824-4991, or through Rabe, Dennis W via phone (217) 824-4991.

Contact Information

Primary practice address
900 W Springfield Rd Taylorville IL 62568-1213
Phone: (217) 824-4991
Fax: (217) 824-5414
Website:
Map and Directions
Authorized official contact:
Name: Rabe, Dennis W Doctor of Optometry (OD)
Phone: (217) 824-4991

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 046006087 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 046008739 Illinois
Eye and Vision Services Providers / Optometrist 152W00000X 046008024 Illinois

Profile Details

NPI number 1427174275
LBN Legal business name Central Illinois Optometric Associates Ltd
DBA Doing business as Advanced Eyecare Of Taylorville
Authorized official Rabe, Dennis W Doctor of Optometry (OD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Apr 18th, 2011 - about 13 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 1427174275 NPPES
Illinois Other 0001115000 BC BS GROUP NUMBER
Illinois MEDICAID 046008024 BC BS GROUP NUMBER
Illinois MEDICAID 046008739 BC BS GROUP NUMBER
Illinois Other 410029982 BC BS GROUP NUMBER
Illinois MEDICAID 046006087 BC BS GROUP NUMBER
Illinois Other 410015010 BC BS GROUP NUMBER
Illinois Other 410015009 BC BS GROUP NUMBER

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