SALEM EYE CLINIC LLC
NPI 1205980786
Optometrist in Salem, IL

Active since January 22, 2007
400 NORTH BROADWAY, SALEM, IL 62881(618) 548-3506(618) 548-2555 Get Directions Write a Review

NPPES record last updated: March 28, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Salem Eye Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SALEM EYE CLINIC LLC (NPI 1205980786) is a healthcare organization registered as an optometrist in Salem, Illinois and active in the NPI registry since January 2007. The organization lists Alan D Montgomery, Owner, as its authorized official.

NPPES Registry Identity

NPI1205980786
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSALEM EYE CLINIC LLC
Location Address400 NORTH BROADWAYSalem, IL 62881
Mailing Address400 North BroadwaySalem, IL 62881 · (618) 548-3506 · Fax (618) 548-2555
Fax(618) 548-2555
Organization SubpartNo
Authorized OfficialAlan D MontgomeryOwner · (618) 548-3506
Enumeration DateJanuary 22, 2007
Last NPPES UpdateMarch 28, 2008
NPI 1205980786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition

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.

400 NORTH BROADWAY, Salem, IL 62881

Other Identifiers 4

Other06132027IL · Blue Cross Blue Shield
Medicare NSC1302430001IL
Medicare PIN571730IL
Medicare PINCG7421IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Salem Eye Clinic, LLC carries, from the Medicare DMEPOS supplier directory.

Salem Eye Clinic, LLC

DMEPOS supplier · Salem, IL

Accepts Medicare assignment

Salem Eye Clinic, LLC agrees to accept the Medicare-approved amount as full payment for covered equipment and supplies. Medicare patients are not billed beyond the standard deductible and coinsurance.

PTAN (Medicare Supplier Number)20629577
Medicare Participant SinceMarch 7, 2000
Supplier Location400 N Broadway AveSalem, IL 62881
Supplier Specialties
Optometrist

Medicare Product Categories

Prosthetic Lenses: Conventional Eyeglasses
Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses
Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses
Cataract Eyeglasses
Product categories are from the Medicare DMEPOS supplier directory. Contact the supplier to confirm current availability of specific items.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
400 NORTH BROADWAY
SALEM, IL 62881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Salem Eye Clinic LLC's NPI number?

The NPI number for Salem Eye Clinic LLC is 1205980786. It was assigned to this organization in the NPPES registry on January 22, 2007.

Where is Salem Eye Clinic LLC located?

Salem Eye Clinic LLC is located at 400 North Broadway, Salem, IL 62881. The listed phone number is (618) 548-3506.

What is Salem Eye Clinic LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Does Salem Eye Clinic LLC accept Medicare assignment for medical equipment?

Yes. As a Medicare medical equipment supplier, Salem Eye Clinic, LLC accepts Medicare assignment: the supplier accepts the Medicare-approved amount as payment in full for covered equipment and supplies.

What insurance does Salem Eye Clinic LLC accept?

Health plans from BlueCross BlueShield of Tennessee list Salem Eye Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Salem Eye Clinic LLC was last updated on March 28, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.