NPIMap

Organization Active NPI

Ranjbar Eyecare Corp

  • Optometrist
  • Hillside, IL
National Provider Identifier
1093067266
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010356 Issued in IL
Legal business name
RANJBAR EYECARE CORP
Practice address
130 S Mannheim Rd
Hillside, IL 60162-1821
Phone
(708) 547-1893
Fax
(408) 547-1467
NPI assigned
Oct 11, 2012
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Dr. Diana N Ranjbar, ODNPI 1154621316
Title
Agent/Owner
Phone
(708) 547-1893

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010356 IL Primary

Addresses

Primary practice location

130 S Mannheim Rd
Hillside, IL 60162-1821

Mailing address

130 S Mannheim Rd
Hillside, IL 60162-1821
Phone (708) 547-1893

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1093067266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MANNHEIM RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621821",
            "telephone_number": "708-547-1893",
            "fax_number": "408-547-1467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MANNHEIM RD",
            "city": "HILLSIDE",
            "state": "IL",
            "postal_code": "601621821",
            "telephone_number": "708-547-1893",
            "fax_number": "408-547-1467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANJBAR EYECARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "RANJBAR",
        "authorized_official_first_name": "DIANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "AGENT/OWNER",
        "authorized_official_telephone_number": "708-547-1893",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillside, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.