Eyes of Grace SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYES OF GRACE SC

Practice address

9669 Kenton Ave Ste 409
Skokie, IL 60076-1267

Phone

(847) 933-0800

Fax

(855) 329-4224

NPI assigned

Jul 31, 2006

Organization subpart

No

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

Authorized official

Name

Grace Bai, MDNPI 1932196219

Title

Physician

Phone

(847) 933-0800

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Grace Soo Kyung Bai, MD

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1932196219
  Medicare reassignment Care Compare group NPD Authorized official
• David K Yoo, MD

  • Ophthalmology Physician
  • Aurora, IL
  • NPI 1548343155
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573516800000",
    "number": "1043225535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5178",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600765178",
            "telephone_number": "847-933-3555",
            "fax_number": "847-933-3559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9669 KENTON AVE STE 409",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761267",
            "telephone_number": "847-933-0800",
            "fax_number": "855-329-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES OF GRACE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2019-11-12",
        "status": "A",
        "authorized_official_last_name": "BAI",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-933-0800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103366",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS OF IL",
            "identifier": "01633731",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Excellent Home Health Care Inc
• Express Lab Services Inc
• Victoria Eyber, DDS
• Eye Care LTD
• Eye Care LTD
• Fabio Ortega MD SC
• Shahrbanoo Fadavi, D.D.S.,M.S.
• Fagman Eye Surgery Associates
• Jan H. Faibisoff, M.D.
• Allison Paige Fair, OTR/L

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; 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.