Organization
CENTRAL ILLINOIS OPTOMETRIC ASSOCIATES LTD
Active
Other names
Advanced Eyecare of Taylorville
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS W RABE OD (CEO)
(217) 824-4991
Entity
Organization
Contact information
Practice address
900 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1213
(217) 824-4991
(217) 824-5414
Mailing address
900 W SPRINGFIELD RD, TAYLORVILLE, IL 62568-1213
(217) 824-4991
(217) 824-5414
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
046006087
IL
152W00000X
Optometrist
046008024
IL
152W00000X
Optometrist
046008739
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001115000
BC BS GROUP NUMBER
IL
05
—
046006087
—
IL
05
—
046008024
—
IL
05
—
046008739
—
IL
01
—
410015009
BLACKMAN RAILROAD NUMBER
IL
01
—
410015010
RABE RAILROAD NUMBER
IL
01
—
410029982
SMOTHERS RAILROAD NUMBER
IL
Enumeration date
03/22/2007
Last updated
04/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us