Exemplary Eyecare PLLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EXEMPLARY EYECARE PLLC

Practice address

2158 N Damen Ave
Chicago, IL 60647-9597

Phone

(773) 782-1660

NPI assigned

May 5, 2022

Organization subpart

No

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

Authorized official

Name

Anita Patel, ODNPI 1164526562

Title

Owner

Phone

(773) 782-1660

Specialties & licenses 1

Addresses

Other names 2

• Red Eye Eyewear Doing business as
• Exemplary Eyecare PLLC Other name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Anita V Patel, OD

  • Optometrist
  • Chicago, IL
  • NPI 1164526562
  Medicare reassignment Care Compare group NPD Authorized official
• Matthew W Gifford, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1396834602
  Medicare reassignment Care Compare group NPD
• Andrew Eric Kohn, O.D.

  • Optometrist
  • Wilmette, IL
  • NPI 1831402130
  NPD (past)

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

{
    "created_epoch": "1651708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1093451833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 W DIVERSEY PKWY APT 202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606149412",
            "telephone_number": "720-837-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2158 N DAMEN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606479597",
            "telephone_number": "773-782-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXEMPLARY EYECARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-05",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "ANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-782-1660",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@redeyeoptical.com",
            "affiliation": "N",
            "address_1": "2158 N Damen Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606479597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@redeyeoptical.com",
            "affiliation": "N",
            "address_1": "2158 N Damen Ave",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606479597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Red Eye Eyewear",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Exemplary Eyecare PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.