NPIMap

Organization Active NPI

In Focus Eyecare P.C.

  • Optometrist
  • Algonquin, IL
National Provider Identifier
1053723908
Registry record updated May 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010021 Issued in IL
Legal business name
IN FOCUS EYECARE P.C.
Practice address
750 S Randall Rd
Algonquin, IL 60102-5915
Phone
(847) 458-5343
Fax
(847) 458-5344
NPI assigned
May 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2014

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

Authorized official

Name
Dr. Amna Malik, ODNPI 1154389963
Title
Ceo- Optometrist
Phone
(832) 641-3351

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010021 IL Primary

Addresses

Primary practice location

750 S Randall Rd
Algonquin, IL 60102-5915

Mailing address

10883 Concord LN
Huntley, IL 60142-4041
Phone (832) 641-3351

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151123002403 IL Part B Supplier - Clinic/Group Practice 0143520122 Receives reassigned benefits from 11 practitioners
Practice locations: Algonquin, IL; Lemont, IL; Mundelein, IL

National Provider Directory

National Provider Directory

Locations

750 S Randall Rd
Algonquin, IL 60102
Phone (847) 458-5341

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1401148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401148800000",
    "number": "1053723908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10883 CONCORD LN",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601424041",
            "telephone_number": "832-641-3351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S RANDALL RD",
            "city": "ALGONQUIN",
            "state": "IL",
            "postal_code": "601025915",
            "telephone_number": "847-458-5343",
            "fax_number": "847-458-5344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN FOCUS EYECARE P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-27",
        "last_updated": "2014-05-27",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "AMNA",
        "authorized_official_title_or_position": "CEO- OPTOMETRIST",
        "authorized_official_telephone_number": "832-641-3351",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010021",
            "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 27, 2014; 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.