MID-STATE EYE PARTNERS INC
NPI 1396201836
Optometrist in Clinton, IL
About Mid-state Eye Partners Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MID-STATE EYE PARTNERS INC (NPI 1396201836) is a healthcare organization registered as an optometrist in Clinton, Illinois and active in the NPI registry since February 2019. The organization lists Bradley Stewart Grant, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mid-state Eye Partners Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Mid-State Eye Partners Inc, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mid-State Eye Partners Inc's NPI number?
The NPI number for Mid-State Eye Partners Inc is 1396201836. It was assigned to this organization in the NPPES registry on February 19, 2019.
Where is Mid-State Eye Partners Inc located?
Mid-State Eye Partners Inc is located at 125 W Main St, Clinton, IL 61727. The listed phone number is (217) 935-9451.
What is Mid-State Eye Partners Inc's specialty?
The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.
Is Mid-State Eye Partners Inc enrolled in Medicare?
Yes. Mid-State Eye Partners Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mid-State Eye Partners Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Optometry, reassign their Medicare billing to Mid-State Eye Partners Inc. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mid-State Eye Partners Inc was last updated on February 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mid-State Eye Partners Inc · NPI 1396201836
Optometrist organization in Clinton, Illinois. Organization record, active in the CMS NPPES registry since February 19, 2019.
## Identity
- **NPI:** 1396201836 (Entity type: Organization)
- **Enumerated:** February 19, 2019
- **Primary specialty:** Optometrist · taxonomy 152W00000X
- **Organization subpart:** No
- **Authorized official:** Bradley Grant, OWNER
## Practice location
- **Address:** 125 W MAIN ST, Clinton, IL 61727-1611
- **Phone:** (217) 935-9451
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 4 clinicians (Optometry) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1396201836) · Data from the CMS NPPES public registry.