Optica Eye Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009159 Issued in IL

Legal business name

OPTICA EYE CENTER INC

Practice address

115 N 19TH Ave
Melrose Park, IL 60160-3702

Phone

(708) 344-1010

NPI assigned

Dec 26, 2006

Organization subpart

No

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

Authorized official

Name

Carol Lynn KopkeNPI 1841354875

Title

Owner

Phone

(708) 344-1010

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Carol Lynn Kopke, O.D.

  • Optometrist
  • Bloomingdale, IL
  • NPI 1841354875
  Medicare reassignment NPD Authorized official
• Alejandro Jose Ramirez, O.D.

  • Optometrist
  • Bloomingdale, IL
  • NPI 1386817682
  Medicare reassignment NPD

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374710400000",
    "number": "1093870677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603702",
            "telephone_number": "708-344-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N 19TH AVE",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601603702",
            "telephone_number": "708-344-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICA EYE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-26",
        "last_updated": "2013-07-25",
        "status": "A",
        "authorized_official_last_name": "KOPKE",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-344-1010"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John O'Malley
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• Cole Ortiz

• Optometrist in Melrose Park, IL
• Providers in Melrose Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2013; 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.