Eyecare Associates of Illinois PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

46007637 Issued in IL

Legal business name

EYECARE ASSOCIATES OF ILLINOIS PC

Practice address

17 W. 412-414 22ND St.
Ste. M&N
Oakbrook Terrace, IL 60181

Phone

(630) 530-2070

Fax

(630) 530-4325

NPI assigned

Feb 21, 2007

Last updated

Aug 6, 2009By 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. Jeffery W. Smith, O.D.NPI 1356426878

Title

Owner

Phone

(305) 557-9007

Specialties & licenses 1

Addresses

Locations

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.

• Jeffery W. Smith, O.D., MBA

  • Optometrist
  • Hialeah, FL
  • NPI 1356426878
  Authorized official Same address or phone

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249516800000",
    "number": "1083759302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "285 W 74TH PL",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330145058",
            "telephone_number": "305-557-9004",
            "fax_number": "305-362-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 W. 412-414 22ND ST.",
            "address_2": "STE. M&N",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "60181",
            "telephone_number": "630-530-2070",
            "fax_number": "630-530-4325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE ASSOCIATES OF ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-21",
        "last_updated": "2009-08-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-557-9007",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Oakbrook Terrace, IL
• Providers in Oakbrook Terrace, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.