Organization Active NPI

Windy City Eye Care, Inc.

  • Optometrist
  • McHenry, IL
National Provider Identifier
1003154550
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010605 Issued in IL
Legal business name
WINDY CITY EYE CARE, INC.
Practice address
2050 N Richmond Rd
McHenry, IL 60051-5419
Phone
(815) 363-8555
NPI assigned
Jan 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Brandon Simon Lernor, O.D.NPI 1295081362
Title
President
Phone
(630) 408-1530

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 046010605 IL Primary

Addresses

Primary practice location

2050 N Richmond Rd
McHenry, IL 60051-5419

Mailing address

6643 Wheatfield St
Woodridge, IL 60517-1715
Phone (630) 408-1530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130826000414 IL Part B Supplier - Clinic/Group Practice 3577706415 Receives reassigned benefits from 1 practitioner
Practice locations: McHenry, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1003154550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6643 WHEATFIELD ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171715",
            "telephone_number": "630-408-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2050 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600515419",
            "telephone_number": "815-363-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDY CITY EYE CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LERNOR",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "SIMON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-408-1530",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.