Organization Active NPI

Future Vision Laser Center

  • Ophthalmology Physician
  • Lombard, IL
National Provider Identifier
1073765467
Registry record updated Oct 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-086926 Issued in IL
Legal business name
FUTURE VISION LASER CENTER
Practice address
477 E Butterfield Rd
Suite 101
Lombard, IL 60148-5618
Phone
(630) 724-1400
Fax
(630) 724-1410
NPI assigned
Oct 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2011

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

Authorized official

Name
Dr. Richard B. Foulkes, M.D.NPI 1932312063
Title
Ophthalmologist
Phone
(630) 724-1400

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036-086926 IL Primary

Addresses

Primary practice location

477 E Butterfield Rd
Suite 101
Lombard, IL 60148-5618

Mailing address

477 E Butterfield Rd
Suite 101
Lombard, IL 60148-5618
Phone (630) 724-1400

National Provider Directory

National Provider Directory

Locations

40 S Clay St
Ste 9W
Hinsdale, IL 60521
Phone (630) 920-5880

Practitioners & affiliated clinicians

Practitioners 1

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": "1224115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1073765467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD",
            "address_2": "SUITE 101",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-724-1400",
            "fax_number": "630-724-1410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD",
            "address_2": "SUITE 101",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-724-1400",
            "fax_number": "630-724-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FUTURE VISION LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-16",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "FOULKES",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "630-724-1400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-086926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.