Organization Active NPI

Wohl Eye Center SC

  • Ophthalmology Physician
  • Bloomingdale, IL
National Provider Identifier
1174666432
Registry record updated Nov 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WOHL EYE CENTER SC
Practice address
303 E Army Trail Rd
Bloomingdale, IL 60108-2169
Phone
(630) 351-2030
Fax
(630) 351-3983
NPI assigned
Feb 15, 2007
Organization subpart
Yes
Parent organization
WOHL EYE CENTER SCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 4, 2008

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

Authorized official

Name
Lisa Wohl, M.D.
Title
Medical Director
Phone
(630) 351-2030

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X Primary
Eyewear Supplier 332H00000X

Addresses

Primary practice location

303 E Army Trail Rd
Bloomingdale, IL 60108-2169

Mailing address

303 E Army Trail Rd
Bloomingdale, IL 60108-2169
Phone (630) 351-2030

Other identifiers 1

IdentifierTypeStateIssuer
036060734MedicaidIL

Other names 1

  • Optical Department Other name

National Provider Directory

National Provider Directory
Part of
Wohl Eye Center

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225756800000",
    "number": "1174666432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-351-2030",
            "fax_number": "630-351-3983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E ARMY TRAIL RD",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601082169",
            "telephone_number": "630-351-2030",
            "fax_number": "630-351-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOHL EYE CENTER SC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WOHL EYE CENTER SC",
        "enumeration_date": "2007-02-15",
        "last_updated": "2008-11-04",
        "status": "A",
        "authorized_official_last_name": "WOHL",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "630-351-2030",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036060734",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optical Department",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2008; 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.