Organization Active NPI

Marvin H Heimlich,OD

Doing business as Buffalo Grove Eye Care Center

  • Optometrist
  • Buffalo Grove, IL
National Provider Identifier
1093894081
Registry record updated Mar 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MARVIN H HEIMLICH,OD
Doing business as
Buffalo Grove Eye Care Center
Practice address
313 W Dundee Rd
Buffalo Grove Eye Care Center
Buffalo Grove, IL 60089-3545
Phone
(847) 541-1184
Fax
(847) 541-1194
NPI assigned
Nov 2, 2006
Last updated
Mar 8, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2011

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

Authorized official

Name
Dr. Marvin Harold Heimlich, O.D.NPI 1316026313
Title
Owner
Phone
(847) 541-1184

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

313 W Dundee Rd
Buffalo Grove Eye Care Center
Buffalo Grove, IL 60089-3545

Mailing address

313 W Dundee Rd
Buffalo Grove Eye Care Center
Buffalo Grove, IL 60089-3545
Phone (847) 541-1184

Other identifiers 3

IdentifierTypeStateIssuer
1618333OtherILBLUE CROSS/BLUE SHIELD
3405394OtherILAETNA
IL7448-002OtherILEYEMED VISION CARE

Other names 1

  • BUFFALO GROVE EYE CARE CENTER Doing business as

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": "1162425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299542400000",
    "number": "1093894081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 W DUNDEE RD",
            "address_2": "BUFFALO GROVE EYE CARE CENTER",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-541-1184",
            "fax_number": "847-541-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 W DUNDEE RD",
            "address_2": "BUFFALO GROVE EYE CARE CENTER",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893545",
            "telephone_number": "847-541-1184",
            "fax_number": "847-541-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN H HEIMLICH,OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-02",
        "last_updated": "2011-03-08",
        "status": "A",
        "authorized_official_last_name": "HEIMLICH",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "HAROLD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-541-1184",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "1618333",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3405394",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "IL7448-002",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BUFFALO GROVE EYE CARE CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.