Envision Eye Center LTD

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

036062774 Issued in IL

Legal business name

ENVISION EYE CENTER LTD

Practice address

900 N Westmoreland Rd
Suite LL84
Lake Forest, IL 60045-1681

Phone

(847) 295-0001

NPI assigned

Aug 20, 2008

Organization subpart

No

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

Authorized official

Name

Bradley Ethan Ruff, M.D.

Title

Owner

Phone

(847) 295-0001

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324598400000",
    "number": "1205083383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE LL84",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451681",
            "telephone_number": "847-295-0001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 N WESTMORELAND RD",
            "address_2": "SUITE LL84",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451681",
            "telephone_number": "847-295-0001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION EYE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2011-12-23",
        "status": "A",
        "authorized_official_last_name": "RUFF",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_middle_name": "ETHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-295-0001",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "036062774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Durable Medical Equipment & Medical Supplies in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.