Active NPI
Midwest Eye, P.C.
- Optometrist
- Westchester, IL
National Provider Identifier
1043589963
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MIDWEST EYE, P.C.
- Practice address
- 10215 W Roosevelt Rd
Westchester, IL 60154-2576 - Phone
- (708) 345-7005
- Fax
- (708) 345-7043
- NPI assigned
- Dec 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Todd Robert
- Title
- President
- Phone
- (708) 345-7005
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
10215 W Roosevelt Rd
Westchester, IL 60154-2576
Mailing address
10215 W Roosevelt Rd
Westchester, IL 60154-2576
Phone (708) 345-7005
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120917000174 | IL | Part B Supplier - Clinic/Group Practice | 8729236773 |
Receives reassigned benefits from 3 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Downers Grove, IL |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Chicago, IL
- NPI 1376799288
-
- Optometrist
- River Forest, IL
- NPI 1104845908
-
- Optometrist
- Downers Grove, IL
- NPI 1295997104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1043589963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10215 W ROOSEVELT RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542576",
"telephone_number": "708-345-7005",
"fax_number": "708-345-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10215 W ROOSEVELT RD",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601542576",
"telephone_number": "708-345-7005",
"fax_number": "708-345-7043"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST EYE, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "ROBERT",
"authorized_official_first_name": "TODD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-345-7005",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westchester, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.