ILLINI EYECARE MONTICELLO INC
NPI 1568656023
Optometrist - Occupational Vision in Monticello, IL

NPI Status: Active since August 28, 2007

Contact Information

102 S CHARTER ST
MONTICELLO, IL
ZIP 61856
Phone: (217) 762-2551

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  • Organization
  • Optometrist
  • Occupational Vision
  • Medicare Supplier
  • Accepts Medicare Approved Payment

About ILLINI EYECARE MONTICELLO INC

This page provides the complete NPI Profile along with additional information for Illini Eyecare Monticello Inc, a provider established in Monticello, Illinois operating as a Optometrist, focusing in occupational vision . The healthcare provider is registered in the NPI registry with number 1568656023 assigned on August 2007. The practitioner's primary taxonomy code is 152WX0102X with license number 046007835 (IL). The provider is registered as an organization and their NPI record was last updated 17 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 Mr. Shirley Ann Fisher (Office Manager)

NPI
1568656023
Provider Name
ILLINI EYECARE MONTICELLO INC
Entity Type
Organization
Location Address
102 S CHARTER ST MONTICELLO, IL 61856
Location Phone
(217) 762-2551
Mailing Address
102 S CHARTER ST MONTICELLO, IL 61856
Mailing Phone
(217) 762-2551
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-28-2007
Last Update Date
10-15-2009
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Illini Eyecare Monticello Inc is a medicare supplier with PTAN 20523191 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.

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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 Occupational Vision

Taxonomy Code
152WX0102X
Type
Eye and Vision Services Providers
License No.
046007835
License State
IL
Taxonomy Description
Optometrists who work in Occupational Vision, the branch of environmental optometry, consider all aspects of the relationship between work and vision, visual performances, eye safety, and health.

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)
1152WP0200XEye and Vision Services Providers

Optometrist
Pediatrics

046007835 (IL)

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.

Insurance Plans Accepted

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

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

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

MR. SHIRLEY ANN FISHER

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(217) 762-2551

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
U03055MEDICARE UPIN (02)IL 
6237070001MEDICARE NSC (07)IL 
215778MEDICARE PIN (08)IL 

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20523191
Accepts Medicare Assignment
YES
Specialities List
Optometrist.
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

Reviews for ILLINI EYECARE MONTICELLO INC

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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 1568656023, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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

Step 2: Add all digits plus the NPI constant

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

2 + 5 + 1 + 2 + 8 + 1 + 2 + 5 + 1 + 2 + 0 + 4 + 24 = 57

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

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1568656023.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1568656023, enumerated as an "organization" on August 28, 2007.

The provider is located at 102 S CHARTER ST MONTICELLO, IL 61856 and the phone number is (217) 762-2551.

Optometrist with taxonomy code 152WX0102X and a focus in Occupational Vision.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.