Plainfield Ophthalmology, M.D., S.C.

Primary specialty

SpecialistTaxonomy code 174400000X

License

36100525 Issued in IL

Legal business name

PLAINFIELD OPHTHALMOLOGY, M.D., S.C.

Practice address

24600 W 127TH St
Suite 120
Plainfield, IL 60585-9502

Phone

(815) 609-6989

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Robert OppenheimNPI 1972599520

Title

President

Phone

(815) 609-6989

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Plainfield Ophthalmology MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Plainfield Ophthalmology, M.D., S.C.

  • Ophthalmology Physician
  • Plainfield, IL
  • NPI 1124040001
  NPD tax ID

Locations

Practitioners 1

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

• Robert A. Oppenheim, M.D.

  • Ophthalmology Physician
  • Plainfield, IL
  • NPI 1972599520
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164575387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST",
            "address_2": "SUITE 120",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859502",
            "telephone_number": "815-609-6989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24600 W 127TH ST",
            "address_2": "SUITE 120",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605859502",
            "telephone_number": "815-609-6989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAINFIELD OPHTHALMOLOGY, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OPPENHEIM",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-609-6989"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "36100525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Plainfield Dental, LTD.
• Plainfield Family Clinic, LLC
• Plainfield Family Dental Center
• Plainfield Fire Protection District
• Plainfield Ophthalmology, M.D., S.C.
• Plainfield Pediatric Dental Care PC
• Plainfield School Dist 202
• Plainfield Supportive Living, LLC
• Plainfield Surgery Center, LLC
• Platinum Pediatric Therapy, Inc.

• Specialist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.