Chicago Eye Care and Lasers S C

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-107010 Issued in IL

Legal business name

CHICAGO EYE CARE AND LASERS S C

Practice address

2252 S Canal St Ste 201
Chicago, IL 60616-1838

Phone

(312) 225-5829

Fax

(312) 225-5839

NPI assigned

Aug 2, 2005

Organization subpart

No

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

Authorized official

Name

Jingtao GuoNPI 1649263120

Title

President

Phone

(312) 225-5829

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Jingtao J Guo, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1649263120
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652572800000",
    "number": "1194726067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 S CANAL ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161838",
            "telephone_number": "312-225-5829",
            "fax_number": "312-225-5839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 S CANAL ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161838",
            "telephone_number": "312-225-5829",
            "fax_number": "312-225-5839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO EYE CARE AND LASERS S C",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2022-05-15",
        "certification_date": "2022-05-15",
        "status": "A",
        "authorized_official_last_name": "GUO",
        "authorized_official_first_name": "JINGTAO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-225-5829"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-107010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Chicago Eye Care and Surgery Center Inc
• Chicago Eye Institute, PLLC
• Chicago Eyes LTD
• Chicago Family Asthma & Allergy SC
• Chicago Family Chiropractic Care

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; 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.