BJG MD SC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

BJG MD SC

Practice address

4709 Golf Rd
Suite 107
Skokie, IL 60076-1231

Phone

(847) 675-5775

Fax

(847) 674-4387

NPI assigned

Apr 13, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bruce J Goldstick, MDNPI 1215037247

Title

Owner

Phone

(847) 675-5775

Specialties & licenses 1

Addresses

Other names 1

• Eye Physicians Glasses Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

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

• Bruce J Goldstick, M.D.

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1215037247
  Medicare reassignment NPD Authorized official
• Grace Soo Kyung Bai, MD

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1932196219
  NPD (past)
• Mark Cabin, M.D.

  • Ophthalmology Physician
  • Hoffman Estates, IL
  • NPI 1073547659
  NPD (past)
• Abe P. Kaplan, MD

  • Ophthalmology Physician
  • Buffalo Grove, IL
  • NPI 1407843816
  NPD (past)
• Stephen David Rheinstrom, M.D.

  • Ophthalmology Physician
  • Highland Park, IL
  • NPI 1568525004
  NPD (past)
• Marc D Hirsch, MD

  • Ophthalmology Physician
  • Milwaukee, WI
  • NPI 1386624120
  NPD (past)

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1053536375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "SUITE 107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-675-5775",
            "fax_number": "847-674-4387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4709 GOLF RD",
            "address_2": "SUITE 107",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761231",
            "telephone_number": "847-675-5775",
            "fax_number": "847-674-4387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BJG MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-13",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "GOLDSTICK",
        "authorized_official_first_name": "BRUCE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-675-5775",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Physicians Glasses",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tonya Denise Bibbs
• Brittany Bidlack
• Liana K Billings, MD, MMSC
• Marina A Birman, PA-C
• Brendan Birmingham, BCBA
• John Alan Black, LCSW
• Julie Blackman, L.C.S.W.
• Joy Ellen Blair, MS OTRL
• Blan Haven LLC
• Michael Gene Blankespoor, MD

• Eyewear Supplier in Skokie, IL
• Providers in Skokie, IL by specialty
• Eyewear Supplier in Illinois

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

Verify at the official NPI Registry.