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PRAIRIE EYE CENTER, LTD
NPI 1578766515
Optometrist in Jacksonville, IL

Active since June 07, 2007CLIA 14D2076796 · Waiver
2000 W MORTON AVE, JACKSONVILLE, IL 62650(217) 245-6814(217) 245-0375 Get Directions Write a Review

NPPES record last updated: February 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 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 1578766515), doing business as Jacksonville Ophthalmologic Associates Ltd, is a healthcare organization registered as an optometrist in Jacksonville, Illinois and active in the NPI registry since June 2007. The organization holds a CLIA Waiver certificate valid through April 24, 2028 and lists Jason Lang, Billing Administrator, as its authorized official.

NPPES Registry Identity

NPI1578766515
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePRAIRIE EYE CENTER, LTD
Location Address2000 W MORTON AVEJacksonville, IL 62650-2623
Mailing Address2020 W Iles AveSpringfield, IL 62704-7015 · (217) 698-3030 · Fax (217) 698-4728
Phone(217) 245-6814
Fax(217) 245-0375
Organization SubpartYes
Authorized OfficialJason LangBilling Administrator · (217) 698-3030
Enumeration DateJune 7, 2007
Last NPPES UpdateFebruary 17, 2021
NPPES CertifiedFebruary 17, 2021
✔ NPI 1578766515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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 · License 036-051855 (IL)
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X
2000 W MORTON AVE, Jacksonville, IL 62650
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Other Names 1

Former Legal Business NameJacksonville Ophthalmologic Associates Ltd

Group Practice 2

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

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 14D2076796

Prairie Eye Center · Jacksonville, IL
Active · expires Apr 24, 2028
CLIA Number14D2076796
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2026
Certificate Expiration DateApril 24, 2028
Laboratory DirectorSandra Yeh M D
Laboratory Phone(217) 245-6814
Laboratory LocationPrairie Eye Center2000 W Morton Ave, Jacksonville, IL 62650
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

KALEIGH MORGAN ALBERS OD
Optometrist
2000 W MORTON AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6814
DR. RODDY FRANKEL MD
Ophthalmology
2000 W MORTON AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6814
DR. ELIZABETH RENEE HEIDEMAN O.D.
Optometrist
2000 W MORTON AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6814
DR. PAUL VICTOR KOWALSKI MD
Ophthalmology
2000 W MORTON AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6814
ERIC A GIEBELHAUSEN MD
Ophthalmology
2000 W MORTON AVE
JACKSONVILLE, IL 62650
Morgan County (217) 245-6814

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 1578766515. It was assigned to this organization in the NPPES registry on June 7, 2007. The provider was formerly known as Jacksonville Ophthalmologic Associates Ltd.

Where is Prairie Eye Center, Ltd located?

Prairie Eye Center, Ltd is located at 2000 W Morton Ave, Jacksonville, IL 62650. The listed phone number is (217) 245-6814.

What is Prairie Eye Center, Ltd's specialty?

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

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

Yes. A Certificate of Waiver (number 14D2076796) is associated with this NPI, valid through April 24, 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 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.