Look Sharp Eye Care Specialists LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008878 Issued in IL

Legal business name

LOOK SHARP EYE CARE SPECIALISTS LTD

Practice address

373 N Wood Dale Rd
Wood Dale, IL 60191-1531

Phone

(630) 422-1413

Fax

(630) 422-1454

NPI assigned

Feb 27, 2007

Last updated

Aug 26, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Elizabeth G Dziuba, ODNPI 1114961208

Title

President

Phone

(630) 422-1413

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Elizabeth G. Dziuba, OD Other name

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Elizabeth Grace Dziuba, O.D.

  • Optometrist
  • Wood Dale, IL
  • NPI 1114961208
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1053448118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "373 N WOOD DALE RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911531",
            "telephone_number": "630-422-1413",
            "fax_number": "630-422-1454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 N WOOD DALE RD",
            "city": "WOOD DALE",
            "state": "IL",
            "postal_code": "601911531",
            "telephone_number": "630-422-1413",
            "fax_number": "630-422-1454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOOK SHARP EYE CARE SPECIALISTS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "DZIUBA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-422-1413",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "046008878",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elizabeth G. Dziuba, OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Jessica Mascenic, LCPC, ATR-BC
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• Optometrist in Wood Dale, IL
• Providers in Wood Dale, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.