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EYE SURGEONS ASSOCIATES PC
NPI 1316030034
Eyewear Supplier in Rock Island, IL

Active since October 02, 2006CLIA 14D2076551 · Waiver
4731 45TH STREET CT, ROCK ISLAND, IL 61201(309) 793-2020(309) 793-2602 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Eye Surgeons Associates Pc NPPES

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

EYE SURGEONS ASSOCIATES PC (NPI 1316030034) is a healthcare organization registered as an eyewear supplier in Rock Island, Illinois and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Patricia A Ferchen, Quality Improvement Director, as its authorized official.

NPPES Registry Identity

NPI1316030034
Entity TypeOrganization
Primary Taxonomy332H00000X
Legal Business NameEYE SURGEONS ASSOCIATES PC
Location Address4731 45TH STREET CTRock Island, IL 61201-7102
Mailing Address777 Tanglefoot LnBettendorf, IA 52722-1650 · (563) 323-2020 · Fax (563) 328-5699
Phone(309) 793-2020
Fax(309) 793-2602
Organization SubpartNo
Authorized OfficialPatricia A FerchenQuality Improvement Director · (563) 323-2020
Enumeration DateOctober 2, 2006
Last NPPES UpdateNovember 3, 2011
✔ NPI 1316030034 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEyewear SupplierSuppliers
Taxonomy Code332H00000X
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
4731 45TH STREET CT, Rock Island, IL 61201
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Other Identifiers 1

Medicare NSC0250210001IL

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2076551

Eye Surgeons Associates P C · Rock Island, IL
Active · expires Apr 21, 2028
CLIA Number14D2076551
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorMichael Boehm
Laboratory Phone(309) 793-2020
Laboratory LocationEye Surgeons Associates P C4731 45th Street Court, Rock Island, IL 61201
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Medical Equipment Supplier Medicare DMEPOS 3

Medicare supplier enrollment and the product categories Eye Surgeons Associates PC carries, from the Medicare DMEPOS supplier directory.

Eye Surgeons Associates PC

DMEPOS supplier · Rock Island, IL
✔

Accepts Medicare assignment

Eye Surgeons Associates PC 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)20668001
Medicare Participant SinceJanuary 1, 1996
Supplier Location4731 45th Street CtRock Island, IL 61201
Provider TypePhysician – Ophthalmology
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 5

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

DR. NIKHIL SUDHAKAR WAGLE MD
Ophthalmology
4731 45TH STREET CT
ROCK ISLAND, IL 61201
Rock Island County (309) 793-2020
LUCY ADLFINGER
Student in an Organized Health Care Education/Training Program
4731 45TH STREET CT
ROCK ISLAND, IL 61201
Rock Island County (309) 793-2020
DR. MALVINDER S. HOONJAN M.D.
Ophthalmology
4731 45TH STREET CT
ROCK ISLAND, IL 61201
Rock Island County (309) 792-2020
DR. SARAH REBECCA BURGETT OD
Optometrist
4731 45TH STREET CT
ROCK ISLAND, IL 61201
Rock Island County (309) 793-2020
ANWI ETAME OD
Optometrist
4731 45TH STREET CT
ROCK ISLAND, IL 61201
Rock Island County (309) 793-2020

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 Eye Surgeons Associates PC's NPI number?

The NPI number for Eye Surgeons Associates PC is 1316030034. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Eye Surgeons Associates PC located?

Eye Surgeons Associates PC is located at 4731 45th Street Ct, Rock Island, IL 61201. The listed phone number is (309) 793-2020.

What is Eye Surgeons Associates PC's specialty?

The primary specialty registered for this NPI is Eyewear Supplier with taxonomy code 332H00000X.

Does Eye Surgeons Associates PC accept Medicare assignment for medical equipment?

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

Does Eye Surgeons Associates PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2076551) is associated with this NPI, valid through April 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Eye Surgeons Associates PC was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.