Organization Active NPI

The Eye Care Center, LTD.

  • Eyewear Supplier
  • Burbank, IL
National Provider Identifier
1144325358
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
046006541 Issued in IL
Legal business name
THE EYE CARE CENTER, LTD.
Practice address
8525 S Harlem Ave
Burbank, IL 60459-2293
Phone
(708) 599-0050
Fax
(708) 599-1099
NPI assigned
Sep 13, 2006
Last updated
Feb 17, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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

Authorized official

Name
Dr. Donna G. Carver, DONPI 1720114499
Title
Associate
Phone
(708) 599-0050

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU
Eyewear Supplier 332H00000X 046006541 IL Primary
Optometrist 152W00000X 046-009852 IL
Optometrist 152W00000X 046-009577 IL

Addresses

Primary practice location

8525 S Harlem Ave
Burbank, IL 60459-2293

Mailing address

8525 S Harlem Ave
Burbank, IL 60459-2293
Phone (708) 599-0050

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110127001177 IL Part B Supplier - Clinic/Group Practice 0143347047 Receives reassigned benefits from 6 practitioners
Practice locations: Willowbrook, IL; Burbank, IL; Addison, IL

National Provider Directory

National Provider Directory

Locations

1250 W Lake St
Ste 19C
Addison, IL 60101
Phone (630) 543-0607

1250 W Lake St
Unit 19C
Addison, IL 60101

8525 S Harlem Ave
Oak Lawn, IL 60459
Phone (708) 599-0050

Practitioners & affiliated clinicians

Practitioners 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676592000000",
    "number": "1144325358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8525 S HARLEM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592293",
            "telephone_number": "708-599-0050",
            "fax_number": "708-599-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8525 S HARLEM AVE",
            "city": "BURBANK",
            "state": "IL",
            "postal_code": "604592293",
            "telephone_number": "708-599-0050",
            "fax_number": "708-599-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE CARE CENTER, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2023-02-17",
        "certification_date": "2023-02-17",
        "status": "A",
        "authorized_official_last_name": "CARVER",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "ASSOCIATE",
        "authorized_official_telephone_number": "708-599-0050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046006541",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009852",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009577",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burbank, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.