Rockford Eye & Laser Center LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

ROCKFORD EYE & LASER CENTER LTD.

Practice address

4301 N Mulford Rd
Loves Park, IL 61111-6955

Phone

(815) 227-0077

Fax

(815) 227-5886

NPI assigned

Mar 1, 2018

Last updated

Mar 1, 2018By 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. Woosuk Steve Yoon, M.D.NPI 1295844934

Title

President

Phone

(815) 227-0077

Specialties & licenses 2

Addresses

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, and the practitioner matching its NPPES authorized official.

• Woosuk Steve Yoon, M.D.

  • Ophthalmology Physician
  • Rockford, IL
  • NPI 1295844934
  Medicare reassignment Care Compare group NPD Authorized official
• Sung Youn Kim, O.D.

  • Optometrist
  • Niles, IL
  • NPI 1275623274
  Medicare reassignment Care Compare group NPD
• Krupa V Patel, OD

  • Optometrist
  • Loves Park, IL
  • NPI 1861048936
  Medicare reassignment Care Compare group NPD
• Herbert C Becker, MD

  • Ophthalmology Physician
  • Hartford, CT
  • NPI 1801852314

  IL

  Medicare reassignment Care Compare group NPD
• Ajay K Gupta, M.D.

  • Ophthalmology Physician
  • Sheboygan, WI
  • NPI 1316049265

  IL

  Medicare reassignment Care Compare group NPD
• Wingyin Hui Durias, OD

  • Optometrist
  • Geneva, IL
  • NPI 1255851945
  Medicare reassignment NPD

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519862400000",
    "number": "1073015434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 N MULFORD RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611116955",
            "telephone_number": "815-227-0077",
            "fax_number": "815-227-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 N MULFORD RD",
            "city": "LOVES PARK",
            "state": "IL",
            "postal_code": "611116955",
            "telephone_number": "815-227-0077",
            "fax_number": "815-227-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROCKFORD EYE & LASER CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A",
        "authorized_official_last_name": "YOON",
        "authorized_official_first_name": "WOOSUK",
        "authorized_official_middle_name": "STEVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-227-0077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Dental Center GPS PLLC (Riverside Dental Center)
• Rock Valley Advanced Pain Management Inc.
• Rockford Anesthesiologists Associated, L.L.C.
• Rockford Anesthesiologists Associated, L.L.C.
• Rockford Dental Associates
• Rockford Health Physicians (Mercyhealth Orthopedic Clinic)
• Rockford Pain & Rehab, LLC
• Amanda L Roettger, RN,BSN
• Jonathan David Rohl, D.D.S.
• Mario Nathaniel Rosales, DC

• Ophthalmology Physician in Loves Park, IL
• Providers in Loves Park, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.