Dr. Fakhoury Eye Care PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

046009416 Issued in IL

Legal business name

DR. FAKHOURY EYE CARE PC

Doing business as

Grand Eye Care

Practice address

8362 Grand Ave
River Grove, IL 60171-1435

Phone

(708) 583-1100

NPI assigned

Aug 5, 2015

Last updated

Aug 5, 2015By 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. Nader E. Fakhoury, O.D.

Title

President

Phone

(847) 800-8856

Specialties & licenses 1

Addresses

Other names 1

• Grand Eye Care Doing business as

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438732800000",
    "number": "1083090716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8362 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711435",
            "telephone_number": "708-583-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8362 GRAND AVE",
            "city": "RIVER GROVE",
            "state": "IL",
            "postal_code": "601711435",
            "telephone_number": "708-583-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. FAKHOURY EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A",
        "authorized_official_last_name": "FAKHOURY",
        "authorized_official_first_name": "NADER",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-800-8856",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "046009416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Grand Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cory Block, DPT
• Neville Wusaobi Chukwu, PHARM. D
• Alexandra Degnan, OT
• Depace Home Healthcare
• Adam Dola, DPT
• Michael Dean Dralle, ATC
• E&G Eye Care PLLC
• Senta Lynn Emmons, CCC-SLP/L
• Jerome Michael Fisher, RPH
• Izabela S Fratczak, LMT

• Medical Specialty Clinic/Center in River Grove, IL
• Providers in River Grove, IL by specialty
• Medical Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.