EYECARE DIMENSIONS
NPI 1194917971
Optometrist in Byron, IL

Active since August 15, 2007
134 E BLACKHAWK DR, BYRON, IL 61010(815) 234-2020(815) 234-7070 Get Directions Write a Review

NPPES record last updated: August 15, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Optometrist

About EYECARE DIMENSIONS

This page provides the complete NPI Profile along with additional information for Eyecare Dimensions, a provider established in Byron, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1194917971 assigned on August 2007. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 19 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Eyecare Dimensions. The authorized official of this NPI record is Dr. Susan M Penner O.d. (Owner)

NPI
1194917971 Verify this NPI
Provider Legal Name
SUSAN M PENNER
Other Organization Name
EYECARE DIMENSIONS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
134 E BLACKHAWK DR BYRON, IL 61010
Location Phone
(815) 234-2020
Location Fax
(815) 234-7070
Mailing Address
134 E BLACKHAWK DR BYRON, IL 61010
Mailing Phone
(815) 234-2020
Mailing Fax
(815) 234-7070
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
08-15-2007
Last Update Date
08-15-2007
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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

Taxonomy Code
152W00000X
Type
Eye and Vision Services Providers
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.

Group Taxonomy 193400000X 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.

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. SUSAN M PENNER O.D.

Authorized Official Title
OWNER
Authorized Official Phone
(815) 234-2020

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

Optometrist
134 E BLACKHAWK DR
BYRON, IL 61010
Optometrist
134 E BLACKHAWK DR
BYRON, IL 61010
Optometrist
134 E BLACKHAWK DR
BYRON, IL 61010

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194917971, enumerated as an "organization" on August 15, 2007.

The provider is located at 134 E BLACKHAWK DR BYRON, IL 61010 and the phone number is (815) 234-2020.

Optometrist with taxonomy code 152W00000X.