Organization Active NPI

Clearvision Eyecare LTD

  • Optometrist
  • Des Plaines, IL
National Provider Identifier
1093720468
Registry record updated Aug 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009763 Issued in IL
Legal business name
CLEARVISION EYECARE LTD
Practice address
1533 Market Street
Des Plaines, IL 60016
Phone
(847) 391-6988
Fax
(847) 391-6989
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2008

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

Authorized official

Name
Dr. Janet Yen-Ling Tseng, O.D.NPI 1689644858
Title
Owner
Phone
(847) 391-6988

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 046009763 IL Primary

Addresses

Primary practice location

1533 Market Street
Des Plaines, IL 60016

Mailing address

1533 Market Street
Des Plaines, IL 60016
Phone (847) 391-6988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060921000493 IL Part B Supplier - Clinic/Group Practice 2567467772 Receives reassigned benefits from 1 practitioner
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217894400000",
    "number": "1093720468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1533 MARKET STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-391-6988",
            "fax_number": "847-391-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1533 MARKET STREET",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-391-6988",
            "fax_number": "847-391-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEARVISION EYECARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-08-05",
        "status": "A",
        "authorized_official_last_name": "TSENG",
        "authorized_official_first_name": "JANET",
        "authorized_official_middle_name": "YEN-LING",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-391-6988",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2008; 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.