Eye Surgeons SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE SURGEONS SC

Practice address

5330 W Devon Ave
Chicago, IL 60646-4108

Phone

(773) 775-4947

Fax

(773) 775-5109

NPI assigned

Mar 13, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Irene Stoepler

Title

Secretary

Phone

(773) 743-4300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eye Surgeons SC

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1740319490

  O20100525000787

  Same enrollment

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003949777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5330 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-775-4947",
            "fax_number": "773-775-5109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464108",
            "telephone_number": "773-775-4947",
            "fax_number": "773-775-5109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SURGEONS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "STOEPLER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "773-743-4300"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eye See Ravenswood, PC
• Eye Society LLC
• Eye Specialists of Chicago and Highland Park
• Eye Specialists of Chicago and Highland Park
• Eye Surgeons Optical
• Eye Surgeons SC
• Eyecare Associates Limited
• Eyecare Physicians and Surgeons Inc.
• Eyedoc Sunshine LLC
• Eyeglass World, LLC 68

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.