Elgin Eye Care

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

5502-6052 Issued in IL

Legal business name

ELGIN EYE CARE

Practice address

840 Summit St
Suite G
Elgin, IL 60120-4300

Phone

(847) 488-1588

Fax

(847) 628-2320

NPI assigned

Mar 1, 2007

Last updated

Aug 22, 2020By 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

Mr. Roland Brand, ABO CERT OPTICIAN

Title

Manager

Phone

(847) 488-1588

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Chris A Tran, O.D.

  • Optometrist
  • Elgin, IL
  • NPI 1922251842
  NPD (past)

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1184752289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 SUMMIT ST",
            "address_2": "SUITE G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204300",
            "telephone_number": "847-488-1588",
            "fax_number": "847-628-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 SUMMIT ST",
            "address_2": "SUITE G",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204300",
            "telephone_number": "847-488-1588",
            "fax_number": "847-628-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELGIN EYE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAND",
        "authorized_official_first_name": "ROLAND",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-488-1588",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ABO CERT OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "5502-6052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED VISION CARE",
            "identifier": "OP1280",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUPERIOR VISION",
            "identifier": "SVS1641",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDAMERICA VISION",
            "identifier": "ELGINEYECARE",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECTERA",
            "identifier": "EE25556",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elgin Charter School Initiative LLC (Elgin Math and Science Academy)
• Elgin Dental Associates
• Elgin Dental Care, LLC
• Elgin Dental Profile LTD.
• Elgin Endocrinology
• Elgin Family Eye Care LLC
• Elgin Family Physicians, SC
• Elgin Foot & Ankle Center, S.C.
• Elgin Gastroenterology Endoscopy Center LLC (The Endo Center of Elgin Gastroenterology)
• Elgin Gastroenterology SC

• Point of Service in Elgin, IL
• Providers in Elgin, IL by specialty
• Point of Service 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.