ADVANCED EYECARE OF TAYLORVILLE
NPI 1427174275
Optometrist in Taylorville, IL

NPI Status: Active since March 22, 2007

Contact Information

900 W SPRINGFIELD RD
TAYLORVILLE, IL
ZIP 62568
Phone: (217) 824-4991
Fax: (217) 824-5414

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  • Organization
  • Optometrist
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ADVANCED EYECARE OF TAYLORVILLE

This page provides the complete NPI Profile along with additional information for Advanced Eyecare Of Taylorville, a provider established in Taylorville, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1427174275 assigned on March 2007. The practitioner's primary taxonomy code is 152W00000X with license number 046006087 (IL). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Advanced Eyecare Of Taylorville. The authorized official of this NPI record is Dr. Dennis W Rabe Od (Ceo)

NPI
1427174275
Provider Legal Name
CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD
Other Organization Name
ADVANCED EYECARE OF TAYLORVILLE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
900 W SPRINGFIELD RD TAYLORVILLE, IL 62568
Location Phone
(217) 824-4991
Location Fax
(217) 824-5414
Mailing Address
900 W SPRINGFIELD RD TAYLORVILLE, IL 62568
Mailing Phone
(217) 824-4991
Mailing Fax
(217) 824-5414
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-22-2007
Last Update Date
04-18-2011
Code Navigator



Advanced Eyecare Of Taylorville is a medicare supplier with PTAN 20660237 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Optometrist

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
License No.
046006087
License State
IL
Taxonomy Description
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 systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1152W00000XEye and Vision Services Providers

Optometrist

046008739 (IL)
2152W00000XEye and Vision Services Providers

Optometrist

046008024 (IL)

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DENNIS W RABE OD

Authorized Official Title
CEO
Authorized Official Phone
(217) 824-4991

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
U57444MEDICARE UPIN (02)IL 
T35907MEDICARE UPIN (02)IL 
0312490001MEDICARE NSC (07)IL 
932160MEDICARE ID-TYPE UNSPECIFIED (04)ILMEDICARE GROUP NUMBER
L12034MEDICARE ID-TYPE UNSPECIFIED (04)IL 
L12035MEDICARE ID-TYPE UNSPECIFIED (04)ILDR, RABE
0001115000OTHER (01)ILBC BS GROUP NUMBER
410015010OTHER (01)ILRABE RAILROAD NUMBER
410015009OTHER (01)ILBLACKMAN RAILROAD NUMBER
046008739MEDICAID (05)IL 
410029982OTHER (01)ILSMOTHERS RAILROAD NUMBER
T38877MEDICARE UPIN (02)IL 
L37898MEDICARE ID-TYPE UNSPECIFIED (04)ILDR SMOTTHERS-CHAMPLEY
046006087MEDICAID (05)IL 
046008024MEDICAID (05)IL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20660237
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
Competitive Bidding
NO

Supplies List

  • Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
  • Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
  • Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

Reviews for ADVANCED EYECARE OF TAYLORVILLE

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1427174275
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2447278214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 4 + 7 + 2 + 7 + 8 + 2 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1427174275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1710980560DR. DENNIS W RABE OD
Individual
Optometrist900 W SPRINGFIELD RD
TAYLORVILLE, IL 62568
(217) 824-4991
1144223983DR. DEBRA SMOTHERS-CHAMPLEY OD
Individual
Optometrist900 W SPRINGFIELD RD
TAYLORVILLE, IL 62568
(217) 824-4991
1639599335 ASHLEY MAY
Individual
Hearing Instrument Specialist900 W SPRINGFIELD RD SUITE 2
TAYLORVILLE, IL 62568
(217) 287-1300
1942680228DR. MAXX M CRAGGS OD
Individual
Optometrist900 W SPRINGFIELD RD
TAYLORVILLE, IL 62568
(217) 824-4991

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427174275, enumerated in the NPI registry as an "organization" on March 22, 2007

The provider is located at 900 W Springfield Rd Taylorville, Il 62568 and the phone number is (217) 824-4991

This medical organization specializes in Optometrist with taxonomy code 152W00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 22, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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