Illini Eyecare Monticello Inc
NPI 1568656023ActiveOrganization· Optometrist, Occupational Vision· Monticello, IL
Optometrist, Occupational Vision in Monticello, Illinois, registered in NPPES in August 2007. The authorized official on file is Shirley Ann Fisher, Office Manager. Enrolled in Medicare as dme supplier - physician - optometrist and part b supplier - clinic/group practice.
Overview
| NPI | 1568656023 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 28, 2007 |
| Last updated in NPPES | Oct 15, 2009 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist, Occupational Vision Primary | 152WX0102X | 046007835 | IL |
| Optometrist, Pediatrics | 152WP0200X | 046007835 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Optometrist (IL); Part B Supplier - Clinic/Group Practice (IL) |
|---|