Organization Active NPI

Vision Rehabilitation Associates PC

  • Optometrist
  • Northfield, IL
National Provider Identifier
1083920573
Registry record updated May 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007979 Issued in IL
Legal business name
VISION REHABILITATION ASSOCIATES PC
Practice address
191 Waukegan Rd
Suite 115
Northfield, IL 60093-2756
Phone
(847) 716-2340
Fax
(847) 716-2341
NPI assigned
Aug 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2011

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

Authorized official

Name
Dr. Michael G Zost, ODNPI 1023060969
Title
Owner
Phone
(224) 305-2172

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046007979 IL Primary

Addresses

Primary practice location

191 Waukegan Rd
Suite 115
Northfield, IL 60093-2756

Mailing address

191 Waukegan Rd
Suite 115
Northfield, IL 60093-2756
Phone (847) 716-2340

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110502000279 IL Part B Supplier - Clinic/Group Practice 0749465029 Receives reassigned benefits from 2 practitioners
Practice locations: Northfield, IL

National Provider Directory

National Provider Directory

Locations

701 Pearson Dr
Genoa, IL 60135
Phone (815) 784-3712

666 Dundee Rd
Ste 1802
Northbrook, IL 60062
Phone (847) 716-2340

191 Waukegan Rd
Ste 115
Northfield, IL 60093
Phone (847) 201-4278

Practitioners & affiliated clinicians

Practitioners 2

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": "1282521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304294400000",
    "number": "1083920573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 WAUKEGAN RD",
            "address_2": "SUITE 115",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932756",
            "telephone_number": "847-716-2340",
            "fax_number": "847-716-2341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "191 WAUKEGAN RD",
            "address_2": "SUITE 115",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600932756",
            "telephone_number": "847-716-2340",
            "fax_number": "847-716-2341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION REHABILITATION ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-23",
        "last_updated": "2011-05-02",
        "status": "A",
        "authorized_official_last_name": "ZOST",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "224-305-2172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.