NPIMap

Organization Active NPI

Retina Consultants, LTD

  • Specialist
  • Des Plaines, IL
National Provider Identifier
1013085992
Registry record updated Nov 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
RETINA CONSULTANTS, LTD
Practice address
2454 E Dempster St
400
Des Plaines, IL 60016-5315
Phone
(847) 299-0700
NPI assigned
Dec 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2008

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

Authorized official

Name
Ms. Ginger Escheverria
Title
Practice Administrator
Phone
(847) 299-0700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

2454 E Dempster St
400
Des Plaines, IL 60016-5315

Mailing address

2454 E Dempster St
400
Des Plaines, IL 60016-5315
Phone (847) 299-0700

Other identifiers 3

IdentifierTypeStateIssuer
4030243OtherIDAETNA
180005501OtherILRAILROAD MEDICARE
21600807OtherILBCBS GROUP ID NUMBER

Other names 1

  • Charles M. Vygantas MD Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040717000110 IL Part B Supplier - Clinic/Group Practice 4486633922 Receives reassigned benefits from 12 practitioners
Practice locations: Des Plaines, IL; Elgin, IL; Hickory Hills, IL; Libertyville, IL; Lisle, IL

National Provider Directory

National Provider Directory

Locations

5215 N California Ave
Ste F717
Chicago, IL 60625
Phone (773) 271-9786

10436 Southwest Hwy
Ste 101
Chicago Ridge, IL 60415
Phone (708) 423-4192

2454 E Dempster St
Ste 400
Des Plaines, IL 60016
Phone (847) 299-0700

2250 Point Blvd
Ste 120
Elgin, IL 60123
Phone (847) 299-0700

810 Biesterfield Rd
#G3
Elk Grove Village, IL 60007
Phone (847) 758-8814

48 S Greenleaf St
Gurnee, IL 60031
Phone (847) 662-4016

7667 W 95th St
Ste 103
Hickory Hills, IL 60457
Phone (847) 299-0700

755 S Milwaukee Ave
Ste 110
Libertyville, IL 60048
Phone (847) 367-1755

755 S Milwaukee Ave
#262263
Libertyville, IL 60048

3330 Old Glenview Rd
Ste 12
Wilmette, IL 60091

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226880000000",
    "number": "1013085992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST",
            "address_2": "400",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165315",
            "telephone_number": "847-299-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2454 E DEMPSTER ST",
            "address_2": "400",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600165315",
            "telephone_number": "847-299-0700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RETINA CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-01",
        "last_updated": "2008-11-17",
        "status": "A",
        "authorized_official_last_name": "ESCHEVERRIA",
        "authorized_official_first_name": "GINGER",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "847-299-0700",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4030243",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180005501",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP ID NUMBER",
            "identifier": "21600807",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles M. Vygantas MD",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 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.