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Contact Information

CENTER FOR SIGHT CENTRAL IL I SC
304 W HAY ST
SUITE 311
DECATUR, IL62526-6328
 Phone: 217-877-5050
 Fax: 217-877-9711
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for CENTER FOR SIGHT CENTRAL IL I SC

NPI # 1174667448
LBN Legal business name CENTER FOR SIGHT CENTRAL IL I SC
Authorized official PHILLIP ALWARD - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/19/2007
Last updated 09/23/2009 - About 17 years ago
Identifiers
IL License # 036054803
IL License # 046008823
IL Medicaid 036054803
IL Medicaid 046008823
IL Other 05815176 BLUE CROSS
IL Other 180022789 RR MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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