NPIMap

Organization Active NPI

Industrial Optical Service Inc.

  • Optometrist
  • Lake Forest, IL
National Provider Identifier
1003205394
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDUSTRIAL OPTICAL SERVICE INC.
Practice address
724 N Western Ave
Lake Forest, IL 60045-1820
Phone
(847) 295-2020
Fax
(847) 295-2021
NPI assigned
Jan 9, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Authorized official

Name
Carrie Roitstein
Title
Managing Doctor
Phone
(312) 945-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

724 N Western Ave
Lake Forest, IL 60045-1820

Mailing address

724 N Western Ave
Lake Forest, IL 60045-1820
Phone (847) 295-2020

Other identifiers 2

IdentifierTypeStateIssuer
1636706OtherILBCBS IL
8825444OtherILMULTIPLAN

Other names 1

  • Spex Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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": "1420761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420761600000",
    "number": "1003205394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451820",
            "telephone_number": "847-295-2020",
            "fax_number": "847-295-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451820",
            "telephone_number": "847-295-2020",
            "fax_number": "847-295-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL OPTICAL SERVICE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-09",
        "last_updated": "2015-01-09",
        "status": "A",
        "authorized_official_last_name": "ROITSTEIN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "312-945-7192"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "1636706",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTIPLAN",
            "identifier": "8825444",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.