Organization Active NPI

Palatine Vision Center, LLC

  • Optometrist
  • Palatine, IL
National Provider Identifier
1073561809
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PALATINE VISION CENTER, LLC
Practice address
456 W Northwest Hwy Ste 100
Palatine, IL 60067-2540
Phone
(847) 358-4950
NPI assigned
May 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Morris S Lehrfeld, OD
Title
Owner
Phone
(847) 358-4950

Specialties & licenses 1

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

Addresses

Primary practice location

456 W Northwest Hwy Ste 100
Palatine, IL 60067-2540

Mailing address

456 W Northwest Hwy Ste 100
Palatine, IL 60067-2540
Phone (847) 358-4950

Other identifiers 1

IdentifierTypeStateIssuer
1684559OtherILBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100611000006 IL Part B Supplier - Clinic/Group Practice 0244360642 Receives reassigned benefits from 5 practitioners
Practice locations: Palatine, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2117335Palatine Vision Center LLC456 West Northwest Hwy, Ste 100, Palatine, IL 60067Certificate of waiverAug 14, 2026

National Provider Directory

National Provider Directory

Locations

251 E Northwest Hwy
Palatine, IL 60067
Phone (847) 358-4950

456 W Northwest Hwy
#A
Palatine, IL 60067
Phone (847) 358-4950

456 W Northwest Hwy
Ste 100
Palatine, IL 60067
Phone (847) 358-4950

Practitioners & affiliated clinicians

Practitioners 5

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": "1146700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1073561809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "456 W NORTHWEST HWY STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672540",
            "telephone_number": "847-358-4950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 W NORTHWEST HWY STE 100",
            "city": "PALATINE",
            "state": "IL",
            "postal_code": "600672540",
            "telephone_number": "847-358-4950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALATINE VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-04",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "LEHRFELD, OD",
        "authorized_official_first_name": "MORRIS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-358-4950"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1684559",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palatine, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.