Seven Bridges Eye Care LLC
Organization Active NPI Corneal and Contact Management Optometrist · Woodridge, IL
NPI 1124348917 · NPPES record last updated Apr 1, 2021
Key facts
- NPI
- 1124348917
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Corneal and Contact Management Optometrist 152WC0802X
- Legal business name
- SEVEN BRIDGES EYE CARE LLC
- Practice address
- 6440 Main St
Suite 100
Woodridge, IL 60517-1752 - Phone
- (630) 824-0101
- Fax
- (630) 824-0105
- NPI assigned
- Jun 3, 2010
- Organization subpart
- No
Authorized official
- Name
- Juan Prado
- Title
- Office Manager
- Phone
- (630) 232-7800
Practitioners 13
-
Douglas Anthony Azzaro, O.D.
-
Amanda Rose Ico, OD
-
Eric C Veverka, OD
-
Amber Lynn Dawson, O.D.
-
Ashlyn Ward, OD
-
Cassandra J Croy, OD
-
Alvin Choi, O.D.
-
Kevin Harte, O.D.
-
Elizabeth Shelus, O.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
Locations
1763 Freedom Dr
Ste 129
Naperville, IL 60563
Phone (630) 393-5663
6440 Main St
Ste 100
Woodridge, IL 60517
Phone (630) 824-0101
6440 Main St
Woodridge, IL 60517
Phone (630) 968-0791
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | 046007886 | IL | |
| Corneal and Contact Management Optometrist |
152WC0802X | Yes |
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
- Third Street Eyecare
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | sevenbridgeseyecare.com | Direct |
Other providers in Woodridge, IL
- Selah Professional Counselors, PLLC
- Select Physical Therapy Orthopedic Services Inc
- Ava Marie Senese
- Senior Hospice Care,LTD
- Puja Sethi
- Seven Bridges Surgical Facility
- Ashley Shah
- Dhimant Kaushik Shah
- Hiral Shah
- Pranjal Shah
All providers in Woodridge, IL · Corneal and Contact Management Optometrist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.