Naperville Eye Associates LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-041747 Issued in IL

Legal business name

NAPERVILLE EYE ASSOCIATES LTD

Practice address

1855 Bay Scott Cir
Naperville, IL 60540-1104

Phone

(630) 357-5280

Fax

(630) 357-5367

NPI assigned

Oct 20, 2006

Organization subpart

No

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

Authorized official

Name

Jeff Nichols

Title

Administrator

Phone

(630) 357-5280

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AGIFBA

Practitioners 7

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

• Daniel F Debartolo, M.D.

  • Ophthalmology Physician
  • Naperville, IL
  • NPI 1659392868
  Medicare reassignment Care Compare group NPD
• Jogin Jose, MD

  • Ophthalmology Physician
  • Naperville, IL
  • NPI 1417489238
  Medicare reassignment Care Compare group NPD
• Eric Kim, MD

  • Ophthalmology Physician
  • Naperville, IL
  • NPI 1326576968
  Medicare reassignment Care Compare group NPD
• F David Cox, M.D.

  • Ophthalmology Physician
  • Naperville, IL
  • NPI 1528081684
  Medicare reassignment NPD
• Robert A. Oppenheim, M.D.

  • Ophthalmology Physician
  • Plainfield, IL
  • NPI 1972599520
  NPD (past)
• Allan J Smith, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1053334128
  NPD (past)
• Samuel Michael Cerone, MSPT

  • Physical Therapist
  • Walden, NY
  • NPI 1053495176
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1013099670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401104",
            "telephone_number": "630-357-5280",
            "fax_number": "630-357-5367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401104",
            "telephone_number": "630-357-5280",
            "fax_number": "630-357-5367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE EYE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "NICHOLS",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "630-357-5280"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-041747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; 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.