NPIMap

Organization Active NPI

Eye2Eye

  • Optometrist
  • Kenilworth, IL
National Provider Identifier
1073857769
Registry record updated Nov 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008884 Issued in IL
Legal business name
EYE2EYE
Practice address
521 Park Dr FRNT 1B
Kenilworth, IL 60043-1099
Phone
(847) 920-5135
Fax
(847) 920-5137
NPI assigned
Nov 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2012

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

Authorized official

Name
Dr. Lisanne Close Rogers, O.D.
Title
President
Phone
(847) 920-5135

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008884 IL Primary

Addresses

Primary practice location

521 Park Dr FRNT 1B
Kenilworth, IL 60043-1099

Mailing address

521 Park Dr FRNT 1B
Kenilworth, IL 60043-1099
Phone (847) 920-5135

National Provider Directory

National Provider Directory

Locations

521 Park Dr
Frnt 1B
Kenilworth, IL 60043
Phone (847) 920-5135

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": "1353283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353283200000",
    "number": "1073857769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 PARK DR FRNT 1B",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431099",
            "telephone_number": "847-920-5135",
            "fax_number": "847-920-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 PARK DR FRNT 1B",
            "city": "KENILWORTH",
            "state": "IL",
            "postal_code": "600431099",
            "telephone_number": "847-920-5135",
            "fax_number": "847-920-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE2EYE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-19",
        "last_updated": "2012-11-19",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "LISANNE",
        "authorized_official_middle_name": "CLOSE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-920-5135",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenilworth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2012; 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.