1. Home
  2. Directory
  3. Illinois
  4. Lincoln
  5. Optometrist
  6. NPI Profile

PRAIRIE EYE CENTER, LTD
NPI 1366035644
Optometrist in Lincoln, IL

Active since February 17, 2021CLIA 14D1095849 · Waiver
518 BROADWAY ST, LINCOLN, IL 62656(217) 732-6062(217) 732-8495 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Prairie Eye Center, Ltd NPPES

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

PRAIRIE EYE CENTER, LTD (NPI 1366035644) is a healthcare organization registered as an optometrist in Lincoln, Illinois and active in the NPI registry since February 2021. The organization holds a CLIA Waiver certificate valid through October 14, 2027 and lists Jason Lang, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1366035644
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePRAIRIE EYE CENTER, LTD
Location Address518 BROADWAY STLincoln, IL 62656-2706
Mailing Address2020 W Iles AveSpringfield, IL 62704-4174 · (217) 698-3030 · Fax (217) 698-3068
Phone(217) 732-6062
Fax(217) 732-8495
Organization SubpartYes
Authorized OfficialJason LangBilling Administrator · (217) 698-3030
Enumeration DateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1366035644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedOphthalmologyTaxonomy 207W00000X
518 BROADWAY ST, Lincoln, IL 62656
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Prairie Eye Center, Ltd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

21

Medicare enrollment records show 21 clinicians reassign Medicare billing to Prairie Eye Center, Ltd, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Ophthalmology10
Optometry10
Plastic and Reconstructive Surgery1

Nearest to this location (20)

See all 21
Tyson Herrmann, O.D.
Optometry
NPI 1427099951
304 W HAY ST SUITE 311
Decatur, IL 62526
(217) 698-3030
✔ PECOS✔ Accepts Medicare29 mi
Phillip Alward, M.D.
Ophthalmology
NPI 1699735415
304 W HAY ST SUITE 311
Decatur, IL 62526
(217) 698-3030
✔ PECOS✔ Accepts Medicare29 mi
Thandeka Myeni, M.D.
Ophthalmology
NPI 1972764801
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Emily Beyer, OD
Optometry
NPI 1063862266
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Chelsey Moore, OD
Optometry
NPI 1235440777
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Kaylyn Nickelson, OD
Optometry
NPI 1467930735
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Sandra Yeh, MD
Ophthalmology
NPI 1841248838
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
William Yang, MD
Ophthalmology
NPI 1790979011
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Jonathan Kane, OD
Optometry
NPI 1891620845
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS31 mi
Alex Willis, MD
Ophthalmology
NPI 1316442288
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Monica Ryan, OD
Optometry
NPI 1003298803
2020 W ILES AVE
Springfield, IL 62704
(217) 698-3030
✔ PECOS✔ Accepts Medicare31 mi
Alexander Kane, OD
Optometry
NPI 1336766377
6900 PRESTON DR STE A
Springfield, IL 62711
(217) 899-7997
✔ PECOS✔ Accepts Medicare36 mi
Elizabeth Heideman, O.D.
Optometry
NPI 1619256013
2000 W MORTON AVE
Jacksonville, IL 62650
(217) 245-6814
✔ PECOS✔ Accepts Medicare56 mi
Kaleigh Albers, OD
Optometry
NPI 1477252948
2000 W MORTON AVE
Jacksonville, IL 62650
(217) 245-6814
✔ PECOS✔ Accepts Medicare56 mi
Brian Moore, OD
Optometry
NPI 1033420575
200 E MECHANIC ST
Hillsboro, IL 62049
(217) 532-3036
✔ PECOS✔ Accepts Medicare69 mi
Melissa Kiel, M.D.
Ophthalmology
NPI 1750511242
3990 N ILLINOIS ST
Swansea, IL 62226
(618) 277-1130
✔ PECOS✔ Accepts Medicare114 mi
Herbert Becker, MD
Ophthalmology
NPI 1801852314
282 WASHINGTON ST
Hartford, CT 06106
(860) 837-9600
✔ PECOS✔ Accepts Medicare878 mi
Shamim Haji, M.D
Ophthalmology
NPI 1588994420
2225 N CENTRAL AVE
Kissimmee, FL 34741
(407) 933-2908
✔ PECOS✔ Accepts Medicare933 mi
Abdulrahman Rageh, MD
Ophthalmology
NPI 1770070146
1309 E RIDGE RD STE 1
Mcallen, TX 78503
(956) 631-8875
✔ PECOS✔ Accepts Medicare1,089 mi
Jose Munoz
Plastic and Reconstructive Surgery
NPI 1306089693
11776 SW 88TH ST
Miami, FL 33186
(786) 708-4424
✔ PECOS✔ Accepts Medicare1,123 mi
See all 21 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 14D1095849

Prairie Eye Center Ltd · Springfield, IL
Active · expires Oct 14, 2027
CLIA Number14D1095849
Laboratory TypePhysician Office
Certificate Effective DateOctober 15, 2025
Certificate Expiration DateOctober 14, 2027
Laboratory DirectorSandra W. Yeh
Laboratory Phone(217) 698-3030
Laboratory LocationPrairie Eye Center Ltd2020 W Iles Avenue, Springfield, IL 62704
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Prairie Eye Center, Ltd's NPI number?

The NPI number for Prairie Eye Center, Ltd is 1366035644. It was assigned to this organization in the NPPES registry on February 17, 2021.

Where is Prairie Eye Center, Ltd located?

Prairie Eye Center, Ltd is located at 518 Broadway St, Lincoln, IL 62656. The listed phone number is (217) 732-6062.

What is Prairie Eye Center, Ltd's specialty?

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

Is Prairie Eye Center, Ltd enrolled in Medicare?

Yes. Prairie Eye Center, Ltd is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Prairie Eye Center, Ltd?

According to the CMS Revalidation Reassignment List (October 2026 release), 21 clinicians in 3 Medicare specialties reassign their Medicare billing to Prairie Eye Center, Ltd. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Ophthalmology (10), Optometry (10) and Plastic and Reconstructive Surgery (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Prairie Eye Center, Ltd hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D1095849) is associated with this NPI, valid through October 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Prairie Eye Center, Ltd was last updated on February 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.