NPIMap

Organization Active NPI

Thomas J Conti MD Dba Illinois Oculoplastic Associates SC

  • Ophthalmology Physician
  • Tinley Park, IL
National Provider Identifier
1114105764
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036108776 Issued in IL
Legal business name
THOMAS J CONTI MD DBA ILLINOIS OCULOPLASTIC ASSOCIATES SC
Practice address
16650 Harlem Ave
Tinley Park, IL 60477-1847
Phone
(708) 444-7200
Fax
(708) 444-7233
NPI assigned
Feb 6, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Thomas J Conti, MDNPI 1477648756
Title
President
Phone
(708) 444-7200

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
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036108776 IL Primary

Addresses

Primary practice location

16650 Harlem Ave
Tinley Park, IL 60477-1847

Mailing address

PO Box 459
Matteson, IL 60443-0459
Phone (708) 747-5850

Other identifiers 1

IdentifierTypeStateIssuer
036108776MedicaidIL

National Provider Directory

National Provider Directory
Tax ID family
Thomas J Conti MD Dba Illinois Oculoplastic Associates SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1202256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1114105764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 459",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604430459",
            "telephone_number": "708-747-5850",
            "fax_number": "708-747-9991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16650 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604771847",
            "telephone_number": "708-444-7200",
            "fax_number": "708-444-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMAS J CONTI MD DBA ILLINOIS OCULOPLASTIC ASSOCIATES SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-06",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "CONTI",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-444-7200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036108776",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036108776",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.