Organization Active NPI

Metropolitan Eyecare Beecher

  • Optometrist
  • Beecher, IL
National Provider Identifier
1033345798
Registry record updated Jun 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008862 Issued in IL
Legal business name
METROPOLITAN EYECARE BEECHER
Practice address
1140 S Dixie Hwy Ste B
Beecher, IL 60401-3672
Phone
(708) 946-9130
Fax
(708) 748-6079
NPI assigned
Jun 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2009

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

Authorized official

Name
Dr. Laurie Lynn Collett, ODNPI 1093702300
Title
Doctor of Optometry
Phone
(708) 946-9130

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008862 IL Primary

Addresses

Primary practice location

1140 S Dixie Hwy Ste B
Beecher, IL 60401-3672

Mailing address

1140 S Dixie Hwy Ste B
Beecher, IL 60401-3672
Phone (708) 946-9130

National Provider Directory

National Provider Directory

Locations

1140 Dixie Hwy
Ste B
Beecher, IL 60401
Phone (708) 946-9130

Practitioners & affiliated clinicians

Practitioners 1

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": "1244419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1244419200000",
    "number": "1033345798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 S DIXIE HWY STE B",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013672",
            "telephone_number": "708-946-9130",
            "fax_number": "708-748-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 S DIXIE HWY STE B",
            "city": "BEECHER",
            "state": "IL",
            "postal_code": "604013672",
            "telephone_number": "708-946-9130",
            "fax_number": "708-748-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYECARE BEECHER",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-08",
        "last_updated": "2009-06-08",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "708-946-9130",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beecher, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.