NPIMap

Organization Active NPI

Naper Grove Vision Care, P.C.

  • Specialist
  • Naperville, IL
National Provider Identifier
1104822642
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NAPER GROVE VISION CARE, P.C.
Practice address
1331 W 75TH St Ste 403
Naperville, IL 60540-9336
Phone
(630) 357-3511
Fax
(630) 357-0556
NPI assigned
Jun 21, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Dr. Bradley V Kampschroeder, ODNPI 1104919158
Title
V President
Phone
(630) 357-3511

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 046-010981 IL

Addresses

Primary practice location

1331 W 75TH St Ste 403
Naperville, IL 60540-9336

Mailing address

1331 W 75TH St Ste 403
Naperville, IL 60540-9311
Phone (630) 357-3511

Other practice location 1

29 S Webster St
Ste 200
Naperville, IL 60540-5368
Phone (630) 357-3511

Other names 1

  • Naper Grove Vision Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001277 IL Part B Supplier - Clinic/Group Practice 4082696448 Receives reassigned benefits from 9 practitioners
1 other NPI on this enrollment
Practice locations: Downers Grove, IL; Naperville, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

6840 Main St
Ste 250
Downers Grove, IL 60516
Phone (630) 969-3268

29 S Webster St
Ste 200
Naperville, IL 60540
Phone (630) 357-3511

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1104822642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-357-3511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 403",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409336",
            "telephone_number": "630-357-3511",
            "fax_number": "630-357-0556"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 S Webster St",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405368",
            "country_code": "US",
            "telephone_number": "630-357-3511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NAPER GROVE VISION CARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "KAMPSCHROEDER",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "V PRESIDENT",
        "authorized_official_telephone_number": "630-357-3511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "046-010981",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Naper Grove Vision Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Naper Grove Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.