Active NPI
Kirschner Optometric Associates, P.C.
- Optometrist
- Homewood, IL
National Provider Identifier
1114142148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH3612 | Other | IL | RAILROAD MEDICARE |
| 01684444 | Other | IL | BLUE CROSS BLUE SHIELD |
Other names 1
- Kirschner Vision Group
National Provider Directory
National Provider DirectoryLocations
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.
-
- Optometrist
- Frankfort, IL
- NPI 1477664035
-
- Optometrist
- New Lenox, IL
- NPI 1003924945
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.