Active NPI
Windy City Eye Care, Inc.
- Optometrist
- McHenry, IL
National Provider Identifier
1003154550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010605
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- McHenry, IL
- NPI 1295081362
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.