NPIMap

Organization Active NPI

Seven Bridges Eye Care LLC

Doing business as Third Street Eyecare

  • Corneal and Contact Management Optometrist
  • Woodridge, IL
National Provider Identifier
1124348917
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
Legal business name
SEVEN BRIDGES EYE CARE LLC
Doing business as
Third Street Eyecare
Practice address
6440 Main St
Suite 100
Woodridge, IL 60517-1752
Phone
(630) 824-0101
Fax
(630) 824-0105
NPI assigned
Jun 3, 2010
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Juan Prado
Title
Office Manager
Phone
(630) 232-7800

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046007886 IL
Corneal and Contact Management Optometrist 152WC0802X Primary

Addresses

Primary practice location

6440 Main St
Suite 100
Woodridge, IL 60517-1752

Mailing address

6440 Main St
Suite 100
Woodridge, IL 60517-1752
Phone (630) 824-0101

Other practice location 1

500 S 3rd St Ste 105
Geneva, IL 60134-2763
Phone (630) 232-7800

Other names 1

  • Third Street Eyecare Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL sevenbridgeseyecare.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210415001889 IL Part B Supplier - Clinic/Group Practice 6901214709 Receives reassigned benefits from 7 practitioners
Practice locations: Naperville, IL; Woodridge, IL; Wheaton, IL; Geneva, IL

National Provider Directory

National Provider Directory

Locations

1763 Freedom Dr
Ste 129
Naperville, IL 60563
Phone (630) 393-5663

1231 Butterfield Rd
Wheaton, IL 60189
Phone (630) 665-6560

6440 Main St
Woodridge, IL 60517
Phone (630) 968-0791

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1124348917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 MAIN ST",
            "address_2": "SUITE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171752",
            "telephone_number": "630-824-0101",
            "fax_number": "630-824-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 MAIN ST",
            "address_2": "SUITE 100",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605171752",
            "telephone_number": "630-824-0101",
            "fax_number": "630-824-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 S 3rd St Ste 105",
            "address_purpose": "LOCATION",
            "city": "Geneva",
            "state": "IL",
            "postal_code": "601342763",
            "country_code": "US",
            "telephone_number": "630-232-7800",
            "fax_number": "630-232-7819",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SEVEN BRIDGES EYE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-03",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "PRADO",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "630-232-7800"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007886",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "sevenbridgeseyecare.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6440 Main St",
            "address_2": "Suite 100",
            "city": "Woodridge",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605171752",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Third Street Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.