Active NPI
Kirk Eye Center SC
- Durable Medical Equipment & Medical Supplies
- River Forest, IL
National Provider Identifier
1013043017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- Legal business name
- KIRK EYE CENTER SC
- Practice address
- 7427 Lake St
River Forest, IL 60305-1817 - Phone
- (708) 771-3334
- Fax
- (708) 771-9614
- NPI assigned
- Feb 26, 2007
- 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
- Lisa Gill
- Title
- Adminitstrator
- Phone
- (708) 771-3334
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | Primary |
Addresses
Primary practice location
7427 Lake St
River Forest, IL 60305-1817
Mailing address
7427 Lake St
River Forest, IL 60305-1817
Phone (708) 771-3334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930089497 | IL | DME Supplier - Physician - Ophthalmology | 2769527118 | Practice locations: River Forest, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Kirk Eye Center SC | Prosthetic Lenses: Conventional Eyeglasses | Accepts assignment |
National Provider Directory
National Provider DirectoryLocations
7427 Lake St
River Forest, IL 60305
Phone (708) 488-1200
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- River Forest, IL
- NPI 1235158098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1680480000000",
"number": "1013043017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7427 LAKE ST",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051817",
"telephone_number": "708-771-3334",
"fax_number": "708-771-9614"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7427 LAKE ST",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "603051817",
"telephone_number": "708-771-3334",
"fax_number": "708-771-9614"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIRK EYE CENTER SC",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-26",
"last_updated": "2023-04-03",
"certification_date": "2023-04-03",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "LISA",
"authorized_official_title_or_position": "ADMINITSTRATOR",
"authorized_official_telephone_number": "708-771-3334"
},
"taxonomies": [
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in River Forest, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.