Organization Active NPI

Vision Surgeons and Consultants, LTD

  • Surgery Physician
  • Evanston, IL
National Provider Identifier
1144288689
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
VISION SURGEONS AND CONSULTANTS, LTD
Practice address
800 Austin St
East Tower Ste 151
Evanston, IL 60202-3439
Phone
(847) 328-2300
Fax
(847) 492-1988
NPI assigned
May 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Carrie Golden-Brenner, M.D.
Title
President
Phone
(847) 328-2300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

800 Austin St
East Tower Ste 151
Evanston, IL 60202-3439

Mailing address

5501 W 79TH St
Suite 400
Burbank, IL 60459-1784
Phone (773) 884-4523

Other identifiers 1

IdentifierTypeStateIssuer
01623637OtherILBLUE SHIELD

National Provider Directory

National Provider Directory

Locations

800 Austin St
Ste 151
Evanston, IL 60202
Phone (847) 328-2300

800 Austin St
Ste 151
Evanston, IL 60202
Phone (847) 328-2300

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1144288689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 W 79TH ST",
            "address_2": "SUITE 400",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604591784",
            "telephone_number": "773-884-4523",
            "fax_number": "773-884-4580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 AUSTIN ST",
            "address_2": "EAST TOWER STE 151",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602023439",
            "telephone_number": "847-328-2300",
            "fax_number": "847-492-1988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SURGEONS AND CONSULTANTS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "GOLDEN-BRENNER",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-328-2300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "01623637",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.