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

NPI Status: Active since February 17, 2021

Contact Information

518 BROADWAY ST
LINCOLN, IL
ZIP 62656
Phone: (217) 732-6062
Fax: (217) 732-8495

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  • Organization
  • Optometrist
  • CLIA Number: 14D1095849
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-14-2027

About PRAIRIE EYE CENTER, LTD

This page provides the complete NPI Profile along with additional information for Prairie Eye Center, Ltd, a provider established in Lincoln, Illinois operating as a Optometrist. The healthcare provider is registered in the NPI registry with number 1366035644 assigned on February 2021. The practitioner's primary taxonomy code is 152W00000X. The provider is registered as an organization and their NPI record was last updated 5 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 authorized official of this NPI record is Jason Lang (Billing Administrator)

NPI
1366035644
Provider Name
PRAIRIE EYE CENTER, LTD
Entity Type
Organization
Location Address
518 BROADWAY ST LINCOLN, IL 62656
Location Phone
(217) 732-6062
Location Fax
(217) 732-8495
Mailing Address
2020 W ILES AVE SPRINGFIELD, IL 62704
Mailing Phone
(217) 698-3030
Mailing Fax
(217) 732-8495
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
02-17-2021
Last Update Date
02-17-2021
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207W00000XAllopathic & Osteopathic Physicians

Ophthalmology

 

Group Taxonomy 193400000X MULTIPLE 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

JASON LANG

Authorized Official Title
BILLING ADMINISTRATOR
Authorized Official Phone
(217) 698-3030

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D1095849
Facility Type
Physician Office
Certificate Effective Date
October 15, 2025
Certificate Expiration Date
October 14, 2027
Laboratory Director
SANDRA W. YEH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Prairie Eye Center, Ltd to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1366035644, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
6
Unchanged
Pos 5
0
Doubled → 0
Pos 6
3
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
6
Unchanged
Pos 9
4
Doubled → 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 0 → 0 5 → 10 → 1 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 2 + 6 + 0 + 3 + 1 + 0 + 6 + 8 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1366035644.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366035644, enumerated as an "organization" on February 17, 2021.

The provider is located at 518 BROADWAY ST LINCOLN, IL 62656 and the phone number is (217) 732-6062.

Optometrist with taxonomy code 152W00000X.