Eye Care LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

EYE CARE LTD

Practice address

9630 Kenton Ave
Skokie, IL 60076-1216

Phone

(847) 677-1631

Fax

(847) 677-1406

NPI assigned

Jan 22, 2007

Organization subpart

No

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

Authorized official

Name

Andrew Berman, M.D.NPI 1447240270

Title

Owner

Phone

(847) 677-1631

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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

• Andrew A Berman, M.D.

  • Specialist
  • Skokie, IL
  • NPI 1447240270
  Medicare reassignment Care Compare group NPD Authorized official
• Scott M Bornstein, M.D.

  • Specialist
  • Skokie, IL
  • NPI 1609866433
  Medicare reassignment Care Compare group NPD
• Russell Marcus Leboyer, M.D,

  • Ophthalmology Physician
  • Skokie, IL
  • NPI 1215101845
  Medicare reassignment Care Compare group NPD
• Brett M Breshears, DO

  • Ophthalmology Physician
  • Indianapolis, IN
  • NPI 1467018945

  IL

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1638921600000",
    "number": "1164576807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9630 KENTON AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761216",
            "telephone_number": "847-677-1631",
            "fax_number": "847-677-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9630 KENTON AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761216",
            "telephone_number": "847-677-1631",
            "fax_number": "847-677-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A",
        "authorized_official_last_name": "BERMAN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-677-1631",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CC0722",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Fagman Eye Surgery Associates

• Ophthalmology Physician in Skokie, IL
• Providers in Skokie, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; 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.