Organization Active NPI

Advanced Eyecare Group PC

Doing business as Drs Jessen Wesley And Assoc

  • Optometrist
  • Oak Park, IL
National Provider Identifier
1164464509
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ADVANCED EYECARE GROUP PC
Doing business as
Drs Jessen Wesley And Assoc
Practice address
7011 North Ave
Oak Park, IL 60302-1001
Phone
(708) 848-3900
Fax
(708) 848-3997
NPI assigned
Jun 11, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Authorized official

Name
Patricia E O'Hagan
Title
Office Manager
Phone
(708) 848-3900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary

Addresses

Primary practice location

7011 North Ave
Oak Park, IL 60302-1001

Mailing address

7011 North Ave
Oak Park, IL 60302-1001
Phone (708) 848-3900

Other identifiers 2

IdentifierTypeStateIssuer
P00173468OtherILRAILROAD MEDICARE
0001616047OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Drs Jessen Wesley And Assoc Doing business as

National Provider Directory

National Provider Directory

Locations

7011 North Ave
Oak Park, IL 60302
Phone (708) 848-3900

Practitioners & affiliated clinicians

Practitioners 1

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": "1149984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194307200000",
    "number": "1164464509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021001",
            "telephone_number": "708-848-3900",
            "fax_number": "708-848-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 NORTH AVE",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603021001",
            "telephone_number": "708-848-3900",
            "fax_number": "708-848-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED EYECARE GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-11",
        "last_updated": "2007-11-06",
        "status": "A",
        "authorized_official_last_name": "O'HAGAN",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "708-848-3900"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00173468",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0001616047",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Drs Jessen Wesley And Assoc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; 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.