ILLINI EYECARE MONTICELLO INC
NPI 1568656023
Optometrist - Occupational Vision in Monticello, IL

NPI Status: Active since August 28, 2007

Contact Information

102 S CHARTER ST
MONTICELLO, IL
ZIP 61856
Phone: (217) 762-2551

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

About ILLINI EYECARE MONTICELLO INC

This page provides the complete NPI Profile along with additional information for Illini Eyecare Monticello Inc, a provider established in Monticello, Illinois operating as a Optometrist, focusing in occupational vision . The healthcare provider is registered in the NPI registry with number 1568656023 assigned on August 2007. The practitioner's primary taxonomy code is 152WX0102X with license number 046007835 (IL). The provider is registered as an organization and their NPI record was last updated 16 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 authorized official of this NPI record is Mr. Shirley Ann Fisher (Office Manager)

NPI
1568656023
Provider Name
ILLINI EYECARE MONTICELLO INC
Entity Type
Organization
Location Address
102 S CHARTER ST MONTICELLO, IL 61856
Location Phone
(217) 762-2551
Mailing Address
102 S CHARTER ST MONTICELLO, IL 61856
Mailing Phone
(217) 762-2551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2007
Last Update Date
10-15-2009
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Illini Eyecare Monticello Inc is a medicare supplier with PTAN 20523191 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.

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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 Occupational Vision

Taxonomy Code
152WX0102X
Type
Eye and Vision Services Providers
License No.
046007835
License State
IL
Taxonomy Description
Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.

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)
1152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

046007835 (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

MR. SHIRLEY ANN FISHER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(217) 762-2551

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
U03055MEDICARE UPIN (02)IL 
6237070001MEDICARE NSC (07)IL 
215778MEDICARE PIN (08)IL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20523191
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 ILLINI EYECARE MONTICELLO INC

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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.
1568656023
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
251281251204
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 1 + 2 + 0 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1568656023 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568656023, enumerated in the NPI registry as an "organization" on August 28, 2007

The provider is located at 102 S Charter St Monticello, Il 61856 and the phone number is (217) 762-2551

This medical organization specializes in Optometrist with taxonomy code 152WX0102X with a focus in Occupational Vision

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 August 28, 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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