Organization Active NPI

Kemperas Vision Center PC

  • Optometrist
  • South Elgin, IL
National Provider Identifier
1194996579
Registry record updated Apr 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008537 Issued in IL
Legal business name
KEMPERAS VISION CENTER PC
Practice address
1289 W Spring St
South Elgin, IL 60177-2990
Phone
(847) 742-8742
NPI assigned
Mar 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2016

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

Authorized official

Name
Dr. Tom Kemperas, OD
Title
Owner
Phone
(847) 742-8742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008537 IL Primary

Addresses

Primary practice location

1289 W Spring St
South Elgin, IL 60177-2990

Mailing address

1289 W Spring St
South Elgin, IL 60177-2990
Phone (847) 742-8742

Other names 1

  • kemperas eyecare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080410000765 IL Part B Supplier - Clinic/Group Practice 5092892380 Receives reassigned benefits from 1 practitioner
Practice locations: South Elgin, IL

National Provider Directory

National Provider Directory

Locations

1287 W Spring St
South Elgin, IL 60177
Phone (847) 665-0606

Practitioners & affiliated clinicians

Practitioners 1

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": "1205366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461888000000",
    "number": "1194996579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1289 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772990",
            "telephone_number": "847-742-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1289 W SPRING ST",
            "city": "SOUTH ELGIN",
            "state": "IL",
            "postal_code": "601772990",
            "telephone_number": "847-742-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEMPERAS VISION CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-13",
        "last_updated": "2016-04-29",
        "status": "A",
        "authorized_official_last_name": "KEMPERAS",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-742-8742",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "kemperas eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2016; 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.