Keratoconus Specialist of Illinois LTD

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

License

046007419 Issued in IL

Legal business name

KERATOCONUS SPECIALIST OF ILLINOIS LTD

Practice address

4 Westbrook Corporate Ctr
Suite 111
Westchester, IL 60154-5752

Phone

(708) 562-4682

Fax

(708) 562-4785

NPI assigned

Oct 22, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Steven B Eiden, OD

Title

Owner/Medical Director

Phone

(847) 412-0311

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• John Kevin Lehr, O.D.

  • Optometrist
  • Westchester, IL
  • NPI 1417255837
  NPD (past)

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382400000000",
    "number": "1043648439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S WAUKEGAN RD",
            "address_2": "SUITE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155653",
            "telephone_number": "847-412-0315",
            "fax_number": "847-412-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WESTBROOK CORPORATE CTR",
            "address_2": "SUITE 111",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545752",
            "telephone_number": "708-562-4682",
            "fax_number": "708-562-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KERATOCONUS SPECIALIST OF ILLINOIS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A",
        "authorized_official_last_name": "EIDEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "847-412-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046007419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin Joseph Kalafut, D.O.
• Kyle Kane
• Abigail Kaufman
• Maurice E Kaufman Sr.
• Thais Kausal
• Cynthia Hodson Kerber, PHD, APRN, BC
• Kevin E Konstant DMD LTD
• Anjali Khanna
• Hyun Kim, RPH
• Spero John Kinnas, M.D.

• Corneal and Contact Management Optometrist in Westchester, IL
• Providers in Westchester, IL by specialty
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.