ILLINOIS EYE CENTER SC
NPI 1285779546
Eyewear Supplier in Peoria, IL

NPI Status: Active since February 21, 2007

Contact Information

8921 N WOOD SAGE RD
PEORIA, IL
ZIP 61615
Phone: (309) 243-2400
Fax: (309) 243-7918

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Authorized Official
Medical Equipment Supplier
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Eyewear Supplier
Medicare Supplier
Accepts Medicare Approved Payment

About ILLINOIS EYE CENTER SC

This page provides the complete NPI Profile along with additional information for Illinois Eye Center Sc, a provider established in Peoria, Illinois operating as a Eyewear Supplier. The healthcare provider is registered in the NPI registry with number 1285779546 assigned on February 2007. The practitioner's primary taxonomy code is 332H00000X. The provider is registered as an organization and their NPI record was last updated 11 years ago. The provider's is doing business as Illinois Eye Center Sc. The authorized official of this NPI record is Dr. Thomas M Wyman M.d. (President)

NPI: 1285779546
Provider Legal Name: WYMAN SICHER EYE ASSOCIATES SC
Other Organization Name: ILLINOIS EYE CENTER SC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 8921 N WOOD SAGE RD PEORIA, IL 61615
Location Phone: (309) 243-2400
Location Fax: (309) 243-7918
Mailing Address: 8921 N WOOD SAGE RD PEORIA, IL 61615
Mailing Phone: (309) 243-2400
Mailing Fax: (309) 243-7918
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 02-21-2007
Last Update Date: 03-17-2014
Code Navigator

Illinois Eye Center Sc is a medicare supplier with PTAN 20666519 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Prosthetic Lenses: Conventional Eyeglasses or Prosthetic Lenses: Conventional Contact Lenses or Prosthetic Lenses: Prosthetics Cataract Lenses.

Location Map

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: Eyewear Supplier
Taxonomy Code: 332H00000X
Type: Suppliers
Taxonomy Description: An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Blue Cross Blue Shield

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Railroad Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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. THOMAS M WYMAN M.D.
Authorized Official Title: PRESIDENT
Authorized Official Phone: (309) 243-2400

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
0425500001	MEDICARE NSC (07)
07220057	OTHER (01)		BLUE CROSS
CL0035	MEDICARE ID-TYPE UNSPECIFIED (04)		RAILROAD MEDICARE
625160	MEDICARE ID-TYPE UNSPECIFIED (04)	IL

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN: 20666519
Accepts Medicare Assignment: YES
Specialities List: Optometrist, Optician.
Provider Type List: PHYSICIAN – OPHTHALMOLOGY.
Competitive Bidding: NO

Supplies List

Prosthetic Lenses: Conventional Eyeglasses - Conventional Eyeglasses
Prosthetic Lenses: Conventional Contact Lenses - Conventional Contact Lenses
Prosthetic Lenses: Prosthetics Cataract Lenses - Cataract Eyeglasses

NPI Validation Check Digit Calculation

The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1	2	8	5	7	7	9	5	4	6
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2	2	16	5	14	7	18	5	8
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 1 + 4 + 7 + 1 + 8 + 5 + 8 + 24 = 74
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 74 = 6									6

The NPI number 1285779546 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.