Eye Society LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.009935 Issued in IL

Legal business name

EYE SOCIETY LLC

Practice address

230 E Ohio St
Sutie 120
Chicago, IL 60611-3265

Phone

(312) 929-3765

Fax

(312) 929-3765

NPI assigned

Mar 31, 2008

Last updated

Jan 24, 2011By 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

Dr. Tanvi Dinesh Mago, O.D.NPI 1659483337

Title

President

Phone

(917) 414-9434

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 4

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.

• Tanvi Dinesh Mago, OD

  • Optometrist
  • Chicago, IL
  • NPI 1659483337
  Medicare reassignment Care Compare group NPD Authorized official
• Olivia Grace Turner

  • Optometrist
  • Chicago, IL
  • NPI 1073186623
  Medicare reassignment Care Compare group NPD
• Carol Braun, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1093961724
  NPD (past)
• Keralyn Totten, OD

  • Optometrist
  • Saint Joseph, MI
  • NPI 1154977759
  NPD (past)

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

{
    "created_epoch": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295827200000",
    "number": "1184896094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST",
            "address_2": "SUTIE 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "312-929-3765",
            "fax_number": "312-929-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 E OHIO ST",
            "address_2": "SUTIE 120",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113265",
            "telephone_number": "312-929-3765",
            "fax_number": "312-929-3765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SOCIETY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2011-01-24",
        "status": "A",
        "authorized_official_last_name": "MAGO",
        "authorized_official_first_name": "TANVI",
        "authorized_official_middle_name": "DINESH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-414-9434",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.009935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009935",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Eye Surgeons Optical
• Eye Surgeons SC
• Eye Surgeons SC

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.