Organization Active NPI

Arlington Eye Physicians, LLC

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1184846032
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-097049 Issued in IL
Legal business name
ARLINGTON EYE PHYSICIANS, LLC
Practice address
1604 W Central Rd
Arlington Heights, IL 60005-2407
Phone
(847) 394-1414
Fax
(847) 394-5380
NPI assigned
May 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Authorized official

Name
Smajo Osmanovic, MDNPI 1194730861
Title
President-Doctor
Phone
(847) 394-1414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036-097049 IL Primary

Addresses

Primary practice location

1604 W Central Rd
Arlington Heights, IL 60005-2407

Mailing address

1604 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 394-1414

Other identifiers 3

IdentifierTypeStateIssuer
01632914OtherILBCBS
036097049MedicaidIL
180045934OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20070924000094 IL Part B Supplier - Clinic/Group Practice 0244324143 Receives reassigned benefits from 11 practitioners
Practice locations: Hoffman Estates, IL; Chicago, IL; Arlington Heights, IL
O20110127000961 IL DME Supplier - Physician - Ophthalmology 0244324143 Practice locations: Arlington Heights, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2308757Arlington Eye Physicians, LLC1604 W Central Rd, Arlington Heights, IL 60005Certificate of waiverAug 1, 2026

National Provider Directory

National Provider Directory

Locations

1604A W Central Rd
Arlington Heights, IL 60005
Phone (847) 394-1414

1604 W Central Rd
Arlington Hts, IL 60005
Phone (847) 394-1414

Practitioners & affiliated clinicians

Practitioners 11

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277856000000",
    "number": "1184846032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1604 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-1414",
            "fax_number": "847-394-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 W CENTRAL RD",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052407",
            "telephone_number": "847-394-1414",
            "fax_number": "847-394-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON EYE PHYSICIANS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2010-06-30",
        "status": "A",
        "authorized_official_last_name": "OSMANOVIC",
        "authorized_official_first_name": "SMAJO",
        "authorized_official_title_or_position": "PRESIDENT-DOCTOR",
        "authorized_official_telephone_number": "847-394-1414",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-097049",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "01632914",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097049",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180045934",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.