Center For Sight Central Il I Sc
LBN: Center For Sight Central Il I Sc
Center For Sight Central Il I Sc is an health care organization with primary practice located at 304 W Hay St Suite 311, Decatur IL 62526-6328. The organization recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Optometrist, Allopathic & Osteopathic Physicians / Ophthalmology. Eye and Vision Services Providers / Optometrist is the primary health care specialty.
Center For Sight Central Il I Sc can be contacted via phone (217) 877-5050, or through Alward, Phillip D via phone (217) 877-5050.
Contact Information
Primary practice address
304 W Hay St Suite 311
Decatur IL 62526-6328
Phone: (217) 877-5050
Fax: (217) 877-9711
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | 046008823 | Illinois |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036054803 | Illinois |
Profile Details
| NPI number | 1174667448 |
|---|---|
| LBN Legal business name | Center For Sight Central Il I Sc |
| DBA Doing business as | |
| Authorized official | Alward, Phillip D Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 19th, 2007 |
| Last updated | Sep 23rd, 2009 - about 17 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 | 1174667448 | NPPES |
| Illinois | MEDICAID | 036054803 | |
| Illinois | MEDICAID | 046008823 | |
| Illinois | Other | 05815176 | |
| Illinois | Other | 180022789 |
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