Prairie Eye Center, Ltd
NPI 1578766515ActiveOrganization· Optometrist· Jacksonville, IL
Optometrist in Jacksonville, Illinois, registered in NPPES in June 2007, part of Prairie Eye Center, Ltd. The authorized official on file is Jason Lang, Billing Administrator.
Overview
| NPI | 1578766515 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Prairie Eye Center, Ltd |
| NPI issued | Jun 7, 2007 |
| Last updated in NPPES | Feb 17, 2021 |
| Certified by provider | Feb 17, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Optometrist Primary | 152W00000X | — | — |
| Ophthalmology | 207W00000X | 036-051855 | IL |
| Ophthalmology, Retina Specialist | 207WX0107X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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