Active NPI
Kemperas Vision Center PC
- Optometrist
- South Elgin, IL
National Provider Identifier
1194996579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008537
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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.