Salem Eye Clinic LLC
NPI 1205980786 · Optometrist · Salem, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Salem Eye Clinic LLC is a Optometrist organization in Salem, IL (NPI 1205980786).
Provider details
- NPI number
- 1205980786
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- Alan Montgomery, Owner(618) 548-3506
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-22
- Last updated
- 2008-03-28
Frequently asked questions
- What is Salem Eye Clinic LLC's NPI number?
- Salem Eye Clinic LLC's National Provider Identifier (NPI) is 1205980786, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Salem Eye Clinic LLC?
- Salem Eye Clinic LLC is classified in the NPPES registry as Optometrist (Eye and Vision Services Providers).
- Where is Salem Eye Clinic LLC located?
- Salem Eye Clinic LLC's practice location on file with NPPES is 400 North Broadway, Salem, IL 62881.
- What is Salem Eye Clinic LLC's phone number?
- The practice phone number listed in the NPPES registry for Salem Eye Clinic LLC is (618) 548-3506.
- Does Salem Eye Clinic LLC accept Medicare?
- Salem Eye Clinic LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Salem Eye Clinic LLC?
- The authorized official listed on Salem Eye Clinic LLC's NPPES record is Alan Montgomery, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Salem Eye Clinic LLC's NPI active?
- Yes — Salem Eye Clinic LLC's NPI (1205980786) is active in the NPPES registry as of the last update on 2008-03-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.