Organization Active NPI

The Eye Specialists Center LLC

  • Ophthalmology Physician
  • Chicago Ridge, IL
National Provider Identifier
1083684922
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE EYE SPECIALISTS CENTER LLC
Practice address
10436 Southwest Hwy
Chicago Ridge, IL 60415-2282
Phone
(708) 423-4070
Fax
(708) 423-4216
NPI assigned
Jan 24, 2006
Last updated
Jan 23, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Authorized official

Name
Dr. Jonathan S Buka, M.D.
Title
Owner/Partner/Physician
Phone
(708) 423-4070

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10436 Southwest Hwy
Chicago Ridge, IL 60415-2282

Mailing address

Department 4684
Carol Stream, IL 60122-4684
Phone (708) 952-0329

Other identifiers 41

IdentifierTypeStateIssuer
1659412682OtherILNPI IDIVIDUAL HASSAN SHAH, MD
1679551014OtherILNPI INDIVIDUAL
1770544462OtherILNPI INDIVIDUAL EMMET M. CASSIDY, MD
180046208OtherILMEDICARE RAILROAD
205786OtherILPTAN IL MEDICARE DUPAGE COUNTY
CK7818OtherILMEDICARE RAILROAD GRP PTAN
036126041MedicaidIL
1649256512OtherILNPI INDIVIDUAL ALEXANDER J KHAMMAR, MD
1689988446OtherILNPI INDIVIDUAL CHRISTINA M TWARDOWSKI, OD
PTAN P00638025OtherILRAILROAD MEDICARE
036128553OtherILPHYSICIANS LICENSE
047935428MedicaidIL
200871680DOtherINMEDICAID LOCATION HINSDALE
P00638025OtherILMEDICARE RAILROAD
036128553MedicaidIL
1386637791OtherILINDIVIDUAL NPI
1992782494OtherILNPI INDIVIDUAL BENJAMIN H TICHO
200871680BOtherINMEDICAID LOCATION CHICAGO RIDGE
205785OtherILPTAN IL MEDICARE COOK COUNTY
01620861OtherILBLUE CROSS AND BLUE SHEILD OF ILLINOIS
036123095MedicaidIL
046009799OtherILLICENSE NO
1477522050OtherILNPI INDIVIDUAL JONATHAN S BUKA, MD
1699802421OtherILOPTICAL NPI THE EYE SPECIALISTS CENTER
1700047222OtherILNPI DR SHIFRIN
1700047222OtherINNPI INDIVIDUAL KABITA S SHIFRIN, DO
180046211OtherILMEDICARE RAILROAD
12324832OtherILCAQH R. VASAIWALA, MD
1477522050OtherINNPI INDIVIDUAL JONATHAN S BUKA, MD
1649256512OtherINNPI INDIVIDUAL ALEXANDER J KHAMMAR, MD
200871680COtherINMEDICAID LOCATION ORLAND PARK
047935429MedicaidIL
1306045083OtherILINDIVIDUAL NPI
180046209OtherILMEDICARE RAILROAD
180046210OtherILMEDICARE RAILROAD
180046212OtherILMEDICARE RAILROAD
1659412682OtherINNPI INDIVIDUAL HASSAN A SHAH, MD
1881759694OtherILNPI INDIVIDUAL KARL TICHO, MD
200871680AOtherINMEDICAID LOCATION MUNSTER
253350OtherINPTAN INDIANA MEDICARE GROUP
60180260001OtherILDEMERC SUPPLIER PTAN

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

7001 W Archer Ave
Chicago, IL 60638
Phone (773) 229-8818

10436 Southwest Hwy
Ste 1
Chicago Ridge, IL 60415
Phone (708) 423-4070

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516665600000",
    "number": "1083684922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 4684",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601224684",
            "telephone_number": "708-952-0329",
            "fax_number": "708-952-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152282",
            "telephone_number": "708-423-4070",
            "fax_number": "708-423-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE SPECIALISTS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2018-01-23",
        "status": "A",
        "authorized_official_last_name": "BUKA",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER/PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "708-423-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
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            "identifier": "1659412682",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL",
            "identifier": "1679551014",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL EMMET M. CASSIDY, MD",
            "identifier": "1770544462",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180046208",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN IL MEDICARE DUPAGE COUNTY",
            "identifier": "205786",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD GRP PTAN",
            "identifier": "CK7818",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036126041",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL ALEXANDER J KHAMMAR, MD",
            "identifier": "1649256512",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL CHRISTINA M TWARDOWSKI, OD",
            "identifier": "1689988446",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "PTAN P00638025",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS LICENSE",
            "identifier": "036128553",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047935428",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LOCATION HINSDALE",
            "identifier": "200871680D",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00638025",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036128553",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1386637791",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL BENJAMIN H TICHO",
            "identifier": "1992782494",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LOCATION CHICAGO RIDGE",
            "identifier": "200871680B",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN IL MEDICARE COOK COUNTY",
            "identifier": "205785",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHEILD OF ILLINOIS",
            "identifier": "01620861",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036123095",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NO",
            "identifier": "046009799",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL JONATHAN S BUKA, MD",
            "identifier": "1477522050",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTICAL NPI THE EYE SPECIALISTS CENTER",
            "identifier": "1699802421",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI DR SHIFRIN",
            "identifier": "1700047222",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL KABITA S SHIFRIN, DO",
            "identifier": "1700047222",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180046211",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH R. VASAIWALA, MD",
            "identifier": "12324832",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL JONATHAN S BUKA, MD",
            "identifier": "1477522050",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL ALEXANDER J KHAMMAR, MD",
            "identifier": "1649256512",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LOCATION ORLAND PARK",
            "identifier": "200871680C",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "047935429",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1306045083",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180046209",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180046210",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "180046212",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL HASSAN A SHAH, MD",
            "identifier": "1659412682",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI INDIVIDUAL KARL TICHO, MD",
            "identifier": "1881759694",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID LOCATION MUNSTER",
            "identifier": "200871680A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN INDIANA MEDICARE GROUP",
            "identifier": "253350",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEMERC SUPPLIER PTAN",
            "identifier": "60180260001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2018; 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.