Active NPI
Reiff Eye Center LTD
- Ophthalmology Physician
- Elgin, IL
National Provider Identifier
1164455879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- REIFF EYE CENTER LTD
- Practice address
- 1435 N Randall Rd
Suite 102
Elgin, IL 60123-2306 - Phone
- (847) 841-8866
- Fax
- (847) 841-8986
- NPI assigned
- Jul 8, 2006
- Reactivated
- Feb 3, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Grac Penn
- Title
- Office Coordinator
- Phone
- (847) 841-8866
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
1435 N Randall Rd
Suite 102
Elgin, IL 60123-2306
Mailing address
1435 N Randall Rd
Suite 102
Elgin, IL 60123-2306
Phone (847) 841-8866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036052088 | Medicaid | IL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1305676800000",
"number": "1164455879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1435 N RANDALL RD",
"address_2": "SUITE 102",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232306",
"telephone_number": "847-841-8866",
"fax_number": "847-841-8986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1435 N RANDALL RD",
"address_2": "SUITE 102",
"city": "ELGIN",
"state": "IL",
"postal_code": "601232306",
"telephone_number": "847-841-8866",
"fax_number": "847-841-8986"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REIFF EYE CENTER LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-08",
"last_updated": "2011-05-18",
"deactivation_date": "2007-10-09",
"reactivation_date": "2009-02-03",
"status": "A",
"authorized_official_last_name": "PENN",
"authorized_official_first_name": "GRAC",
"authorized_official_title_or_position": "OFFICE COORDINATOR",
"authorized_official_telephone_number": "847-841-8866",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036052088",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elgin, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.