Dr Raffertys Eye Encounters, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

DR RAFFERTYS EYE ENCOUNTERS, LLC

Practice address

29 S Webster St Ste 104
Naperville, IL 60540-5353

Phone

(630) 357-6880

Fax

(630) 357-6995

NPI assigned

May 25, 2018

Last updated

May 25, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mark Rafferty, ODNPI 1912913047

Title

President

Phone

(630) 357-6770

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ocuco_drraffertyseyeencounters

Practitioners 3

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.

• Mark C Rafferty, OD

  • Optometrist
  • Naperville, IL
  • NPI 1912913047
  Medicare reassignment Care Compare group Authorized official
• Katherine Helen Hertzberg, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1013117043
  Medicare reassignment Care Compare group
• Cynthia B. Bjorseth, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1003874421
  NPD

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

{
    "created_epoch": "1527206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527206400000",
    "number": "1124519178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405353",
            "telephone_number": "630-357-6880",
            "fax_number": "630-357-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 S WEBSTER ST STE 104",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605405353",
            "telephone_number": "630-357-6880",
            "fax_number": "630-357-6995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29 S Webster St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Naperville",
            "state": "IL",
            "postal_code": "605405353",
            "country_code": "US",
            "telephone_number": "630-357-6880",
            "fax_number": "630-357-6995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DR RAFFERTYS EYE ENCOUNTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-25",
        "last_updated": "2018-05-25",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-357-6770",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2018; 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.