The Optometrists, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

THE OPTOMETRISTS, P.C.

Practice address

510 N Western Ave
Lake Forest, IL 60045-1920

Phone

(847) 283-0800

Fax

(847) 283-0781

NPI assigned

Oct 31, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ronald J Henderson, O.D.NPI 1063529428

Title

Owner/Operator

Phone

(847) 283-0800

Specialties & licenses 1

Addresses

Other names 1

• The Optometrists of Lake Forest Doing business as

Tax ID family

Optometrists of the North Shore2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• The Optometrists, P.C.

  • Optometrist
  • Northbrook, IL
  • NPI 1114008455
  NPD tax ID

Locations

Practitioners 1

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

• Ronald J Henderson, O.D.

  • Optometrist
  • Northbrook, IL
  • NPI 1063529428
  NPD Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205971200000",
    "number": "1205912466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451920",
            "telephone_number": "847-283-0800",
            "fax_number": "847-283-0781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N WESTERN AVE",
            "city": "LAKE FOREST",
            "state": "IL",
            "postal_code": "600451920",
            "telephone_number": "847-283-0800",
            "fax_number": "847-283-0781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-03-20",
        "status": "A",
        "authorized_official_last_name": "HENDERSON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "847-283-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Optometrists of Lake Forest",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michael W Terkildsen, M.D.
• Anthony Paul Terrasse, M.D.
• Chad Michael Teven, M.D.
• TFM Services, LLC
• Roopal B Thakkar, M.D.
• The Yellin Holistic Center for Being Well Inc.
• Dhanya Thomas, OTR/L
• Adam Tiagonce, M.D.
• Margaret Adela Timm, DVM
• Monika B Tincher, D.D.S.

• Optometrist in Lake Forest, IL
• Providers in Lake Forest, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2008; 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.