Organization Active NPI

Atkinson Eye Care, P.C.

  • Optometrist
  • Algonquin, IL
National Provider Identifier
1043330418
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ATKINSON EYE CARE, P.C.
Practice address
2100 N. Huntington Drive, Unit a
Algonquin, IL 60102-5940
Phone
(847) 854-5700
Fax
(847) 854-5762
NPI assigned
Mar 30, 2007
Last updated
May 18, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Authorized official

Name
Elizabeth M. Atkinson, O.D.
Title
Optometrist
Phone
(847) 854-5700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

2100 N. Huntington Drive, Unit a
Algonquin, IL 60102-5940

Mailing address

2100 N. Huntington Drive, Unit a
Algonquin, IL 60102-5940
Phone (847) 854-5700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090716000501 IL Part B Supplier - Clinic/Group Practice 6901958255 Receives reassigned benefits from 4 practitioners
Practice locations: Algonquin, IL

National Provider Directory

National Provider Directory

Locations

126 S Randall Rd
Algonquin, IL 60102
Phone (847) 854-5700

2100 Huntington Dr N
Algonquin, IL 60102

2100 Huntington Dr N
Ste A
Algonquin, IL 60102
Phone (815) 338-0107

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431907200000",
    "number": "1043330418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 N. HUNTINGTON DRIVE, UNIT A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025940",
            "telephone_number": "847-854-5700",
            "fax_number": "847-854-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N. HUNTINGTON DRIVE, UNIT A",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025940",
            "telephone_number": "847-854-5700",
            "fax_number": "847-854-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATKINSON EYE CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2015-05-18",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-854-5700",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Algonquin, IL

Sources for this page

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