Northshore Eye Care, LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036100283 Issued in IL

Legal business name

NORTHSHORE EYE CARE, LTD

Practice address

800 N Westmoreland Rd
Suite 206
Lake Forest, IL 60045-1673

Phone

(847) 295-2445

Fax

(857) 615-2228

NPI assigned

Aug 20, 2006

Last updated

Apr 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Diany Morales, M.D.

Title

President

Phone

(847) 295-2445

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271808000000",
    "number": "1174638241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N WESTMORELAND RD",
            "address_2": "SUITE 206",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451673",
            "telephone_number": "847-295-2445",
            "fax_number": "857-615-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N WESTMORELAND RD",
            "address_2": "SUITE 206",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451673",
            "telephone_number": "847-295-2445",
            "fax_number": "857-615-2228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHSHORE EYE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-20",
        "last_updated": "2010-04-21",
        "status": "A",
        "authorized_official_last_name": "MORALES",
        "authorized_official_first_name": "DIANY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-295-2445",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036100283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "4932200",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036100283",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Shore Nutrition PLLC
• North Shore Rheumatology
• North Suburban Oral and Maxillofacial Surgery LTD
• Northeast Radiology Associates, S.C.
• Northland Hearing Centers, Inc. (Northland Hearing Centers, Inc. dba Hearing Lab)
• Northshore Relational Therapy PLLC
• Northwesstern Lake Forest Hospita
• Northwestern Lake Forest Hospital (Northwestern Medicine Lake Forest Hospital)
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)
• Northwestern Medical Faculty Foundation (Northwestern Medical Group)

• Ophthalmology Physician in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2010; 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.