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:
Map and Directions
Authorized official contact:
Name: Bedford, Charles E Doctor of Optometry (OD)
Phone: (217) 422-8032

Health care specialties

SpecialtyCodeLicense #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 18 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 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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