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FISHER-SWALE-NICHOLSON EYE CENTER SC
NPI 1639277940
Ophthalmology in Bourbonnais, IL

Active since September 20, 2006CLIA 14D2171174 · Waiver
352 BROWN BLVD, BOURBONNAIS, IL 60914(815) 932-2020(815) 937-0060 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Fisher-swale-nicholson Eye Center Sc NPPES

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

FISHER-SWALE-NICHOLSON EYE CENTER SC (NPI 1639277940) is a healthcare organization registered as an ophthalmology in Bourbonnais, Illinois and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through August 26, 2027 and lists Tammy A Wilhoyt, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1639277940
Entity TypeOrganization
Primary Taxonomy207W00000X
Legal Business NameFISHER-SWALE-NICHOLSON EYE CENTER SC
Location Address352 BROWN BLVDBourbonnais, IL 60914-2458
Mailing Address352 Brown BlvdBourbonnais, IL 60914-2458 · (815) 932-2020 · Fax (815) 937-0060
Phone(815) 932-2020
Fax(815) 937-0060
Organization SubpartNo
Authorized OfficialTammy A WilhoytOffice Manager · (815) 932-2020
Enumeration DateSeptember 20, 2006
Last NPPES UpdateAugust 21, 2014
✔ NPI 1639277940 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
352 BROWN BLVD, Bourbonnais, IL 60914
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Other Identifiers 2

Medicare PIN947330IL
Medicare NSC0464860001IL

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 14D2171174

Fisher - Swale - Nicholson Eye Center · Bourbonnais, IL
Active · expires Aug 26, 2027
CLIA Number14D2171174
Laboratory TypePhysician Office
Certificate Effective DateAugust 27, 2025
Certificate Expiration DateAugust 26, 2027
Laboratory DirectorGail Adams
Laboratory Phone(815) 932-2020
Laboratory LocationFisher - Swale - Nicholson Eye Center352 Brown Blvd, Bourbonnais, IL 60914
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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ERICKA JEANNETTE GARCIA OD
Optometrist
352 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2020
DR. JEROME A SWALE M.D.
Ophthalmology
352 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2020
JASON RIM FRANKLIN M.D.
Ophthalmology
352 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2020
DR. MARC L FISHER M.D.
Ophthalmology
352 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2020
DR. PATRICIA ZIELINSKI O.D.
Optometrist
352 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2020
MATTHEW CLARK NICHOLSON O.D.
Optometrist
352 BROWN BLVD
BOURBONNAIS, IL 60914
Kankakee County (815) 932-2020

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 Fisher-Swale-Nicholson Eye Center Sc's NPI number?

The NPI number for Fisher-Swale-Nicholson Eye Center Sc is 1639277940. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Fisher-Swale-Nicholson Eye Center Sc located?

Fisher-Swale-Nicholson Eye Center Sc is located at 352 Brown Blvd, Bourbonnais, IL 60914. The listed phone number is (815) 932-2020.

What is Fisher-Swale-Nicholson Eye Center Sc's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Does Fisher-Swale-Nicholson Eye Center Sc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2171174) is associated with this NPI, valid through August 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Fisher-Swale-Nicholson Eye Center Sc accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Fisher-Swale-Nicholson Eye Center Sc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fisher-Swale-Nicholson Eye Center Sc was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.