Organization Active NPI

Shvartsman Eyecare PC

  • Corneal and Contact Management Optometrist
  • Wilmette, IL
National Provider Identifier
1093902686
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
SHVARTSMAN EYECARE PC
Practice address
120 Skokie Blvd
Wilmette, IL 60091-3050
Phone
(847) 251-3330
Fax
(847) 251-9580
NPI assigned
Sep 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Dr. Deanne Lynne Shvartsman, O.D.NPI 1386755585
Title
President
Phone
(847) 853-0763

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
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X IL Primary

Addresses

Primary practice location

120 Skokie Blvd
Wilmette, IL 60091-3050

Mailing address

323 17TH St
Wilmette, IL 60091-3223
Phone (847) 853-0763

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000463 IL Part B Supplier - Clinic/Group Practice 2567552102 Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Locations

9630 Kenton Ave
Skokie, IL 60076
Phone (847) 423-2191

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": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1093902686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 17TH ST",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913223",
            "telephone_number": "847-853-0763",
            "fax_number": "847-251-9880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913050",
            "telephone_number": "847-251-3330",
            "fax_number": "847-251-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHVARTSMAN EYECARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "SHVARTSMAN",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_middle_name": "LYNNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-853-0763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.