Organization Active NPI

North Suburban Vision Consultants,LTD.

  • Optometrist
  • Deerfield, IL
National Provider Identifier
1063518322
Registry record updated Jan 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
NORTH SUBURBAN VISION CONSULTANTS,LTD.
Practice address
360 S Waukegan Rd
Deerfield, IL 60015-5654
Phone
(847) 412-0311
Fax
(847) 412-0316
NPI assigned
Sep 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2013

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

Authorized official

Name
Steven Barry Eiden, OD
Title
Owner
Phone
(813) 890-8004

Specialties & licenses 1

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

Addresses

Primary practice location

360 S Waukegan Rd
Deerfield, IL 60015-5654

Mailing address

360 S Waukegan Rd
Deerfield, IL 60015-5654
Phone (847) 412-0311

National Provider Directory

National Provider Directory

Locations

360 S Waukegan Rd
Deerfield, IL 60015
Phone (847) 412-0311

Practitioners & affiliated clinicians

Practitioners 3

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": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357862400000",
    "number": "1063518322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155654",
            "telephone_number": "847-412-0311",
            "fax_number": "847-412-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WAUKEGAN RD",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155654",
            "telephone_number": "847-412-0311",
            "fax_number": "847-412-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN VISION CONSULTANTS,LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2013-01-11",
        "status": "A",
        "authorized_official_last_name": "EIDEN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "BARRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-890-8004",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.