Decatur Eyecare Associates
LBN: Decatur Eyecare Associates
Decatur Eyecare Associates is an health care organization with primary practice located at 1270 S Jasper St , Decatur IL 62521-3531. The organization recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as the primary health care specialty.
Decatur Eyecare Associates can be contacted via phone (217) 422-8032, or through Bedford, Charles E via phone (217) 422-8032.
Contact Information
Primary practice address
1270 S Jasper St
Decatur IL 62521-3531
Phone: (217) 422-8032
Fax:
Website:
Authorized official contact:
Name: Bedford, Charles E Doctor of Optometry (OD)
Phone: (217) 422-8032
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 467080 | Illinois |
Profile Details
| NPI number | 1053572255 |
|---|---|
| LBN Legal business name | Decatur Eyecare Associates |
| DBA Doing business as | |
| Authorized official | Bedford, Charles E Doctor of Optometry (OD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 19th, 2008 |
| Last updated | Jun 19th, 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 | 1053572255 | NPPES |
| Illinois | Other | 714680 | MEDICARE ID |
| Illinois | Other | 4095740001 | MEDICARE ID |
| Illinois | MEDICAID | 046007080 | MEDICARE ID |
| Illinois | Other | 0005884011 | MEDICARE ID |
| Illinois | Other | 410017583 | MEDICARE ID |
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