Active NPI
Wohl Eye Center SC
- Ophthalmology Physician
- Bloomingdale, IL
National Provider Identifier
1174666432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- 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 SC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036060734 | Medicaid | IL |
Other names 1
- Optical Department
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.
-
- Ophthalmology Physician
- Bloomingdale, IL
- NPI 1942242730
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.