Organization Active NPI

Combs Eyecare and Eyewear LTD

  • Eyewear Supplier
  • Western Springs, IL
National Provider Identifier
1013049832
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
046008409 Issued in IL
Legal business name
COMBS EYECARE AND EYEWEAR LTD
Practice address
504 Hillgrove Ave
Western Springs, IL 60558-1481
Phone
(708) 286-1100
Fax
(708) 286-1103
NPI assigned
Mar 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Authorized official

Name
Dr. Irene Domenica Combs, O.D.NPI 1700814530
Title
President
Phone
(708) 286-1100

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
Eyewear Supplier 332H00000X 046008409 IL Primary

Addresses

Primary practice location

504 Hillgrove Ave
Western Springs, IL 60558-1481

Mailing address

504 Hillgrove Ave
Western Springs, IL 60558-1481
Phone (708) 286-1100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070508000624 IL Part B Supplier - Clinic/Group Practice 9537265525 Receives reassigned benefits from 3 practitioners
Practice locations: Western Springs, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1173398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1013049832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581481",
            "telephone_number": "708-286-1100",
            "fax_number": "708-286-1103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 HILLGROVE AVE",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581481",
            "telephone_number": "708-286-1100",
            "fax_number": "708-286-1103"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMBS EYECARE AND EYEWEAR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-09",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "COMBS",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "DOMENICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-286-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046008409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Western Springs, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; 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.