Organization Active NPI

Plainfield Ophthalmology, M.D., S.C.

  • Ophthalmology Physician
  • Plainfield, IL
National Provider Identifier
1124040001
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
PLAINFIELD OPHTHALMOLOGY, M.D., S.C.
Practice address
13300 S Route 59
Building a, Suite A1
Plainfield, IL 60585-9847
Phone
(815) 609-6989
NPI assigned
Jul 23, 2006
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. Robert Oppenheim, M.D.NPI 1972599520
Title
Owner
Phone
(815) 609-6989

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 IL Primary

Addresses

Primary practice location

13300 S Route 59
Building a, Suite A1
Plainfield, IL 60585-9847

Mailing address

13300 S Route 59
Building a, Suite A1
Plainfield, IL 60585-9847
Phone (815) 609-6989

National Provider Directory

National Provider Directory
Tax ID family
Plainfield Ophthalmology MD2 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.

Locations

13300 S Route 59
Ste A1
Plainfield, IL 60585
Phone (815) 609-3627

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": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124040001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13300 S ROUTE 59",
            "address_2": "BUILDING A, SUITE A1",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859847",
            "telephone_number": "815-609-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13300 S ROUTE 59",
            "address_2": "BUILDING A, SUITE A1",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859847",
            "telephone_number": "815-609-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD OPHTHALMOLOGY, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-609-6989",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plainfield, 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.