Organization Active NPI

Eyesee LLC

  • Optometrist
  • Lincolnshire, IL
National Provider Identifier
1154810620
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYESEE LLC
Practice address
275 Parkway Dr Ste 415
Lincolnshire, IL 60069
Phone
(847) 243-3330
Fax
(847) 243-3332
NPI assigned
May 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Authorized official

Name
Vlada Nakhlis, ODNPI 1740491455
Title
Owner
Phone
(847) 243-3330

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

275 Parkway Dr Ste 415
Lincolnshire, IL 60069

Mailing address

275 Parkway Dr Ste 415
Lincolnshire, IL 60069-4344
Phone (847) 243-3330

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180727002693 IL Part B Supplier - Clinic/Group Practice 4688921265 Receives reassigned benefits from 2 practitioners
Practice locations: Lincolnshire, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2148637Eyesee L L C275 Parkway Dr #415, Lincolnshire, IL 60069Certificate of waiverMay 14, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1532304000000",
    "number": "1154810620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 PARKWAY DR STE 415",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600694344",
            "telephone_number": "847-243-3330",
            "fax_number": "847-243-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "275 PARKWAY DR STE 415",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "60069",
            "telephone_number": "847-243-3330",
            "fax_number": "847-243-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYESEE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-09",
        "last_updated": "2018-07-23",
        "status": "A",
        "authorized_official_last_name": "NAKHLIS",
        "authorized_official_first_name": "VLADA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-243-3330",
        "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": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.