Organization Active NPI

Kirschner Optometric Associates, P.C.

  • Optometrist
  • Homewood, IL
National Provider Identifier
1114142148
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
KIRSCHNER OPTOMETRIC ASSOCIATES, P.C.
Practice address
2156 183Rd St
Homewood, IL 60430-3238
Phone
(708) 957-7700
Fax
(708) 957-7715
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Paul Kirschner, O.D.
Title
President
Phone
(708) 957-7700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2156 183Rd St
Homewood, IL 60430-3238

Mailing address

2156 183Rd St
Homewood, IL 60430-3238
Phone (708) 957-7700

Other identifiers 2

IdentifierTypeStateIssuer
CH3612OtherILRAILROAD MEDICARE
01684444OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Kirschner Vision Group Doing business as

National Provider Directory

National Provider Directory

Locations

6052 159th St
Oak Forest, IL 60452
Phone (708) 687-0600

5451 159th St
Oak Forest, IL 60452
Phone (708) 687-0600

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": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114142148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2156 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303238",
            "telephone_number": "708-957-7700",
            "fax_number": "708-957-7715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2156 183RD ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604303238",
            "telephone_number": "708-957-7700",
            "fax_number": "708-957-7715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRSCHNER OPTOMETRIC ASSOCIATES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSCHNER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-957-7700",
        "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": "RAILROAD MEDICARE",
            "identifier": "CH3612",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01684444",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirschner Vision Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Homewood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.