Organization Active NPI

Reiff Eye Center LTD

  • Ophthalmology Physician
  • Elgin, IL
National Provider Identifier
1164455879
Registry record updated May 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on May 18, 2011

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
036052088MedicaidIL

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.