Organization Active NPI

Comprehensive Eyecare Physicians PC

  • Ophthalmology Physician
  • Berwyn, IL
National Provider Identifier
1205959053
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
COMPREHENSIVE EYECARE PHYSICIANS PC
Practice address
6233 W Cermak Rd
Berwyn, IL 60402
Phone
(708) 749-2020
NPI assigned
Apr 9, 2007
Last updated
Oct 16, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Cecelia Gibson
Title
Opht. Tech
Phone
(847) 564-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

6233 W Cermak Rd
Berwyn, IL 60402

Mailing address

1917 Cherry LN
Northbrook, IL 60062

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060131000100 IL Part B Supplier - Clinic/Group Practice 6103830096 Receives reassigned benefits from 6 practitioners
Practice locations: Orland Park, IL; Schaumburg, IL; Northbrook, IL; Niles, IL; La Grange, IL; Downers Grove, IL; Chicago, IL

National Provider Directory

National Provider Directory

Locations (25 of 33)

6235 Cermak Rd
#8317
Berwyn, IL 60402

6236 Cermak Rd
Berwyn, IL 60402

6239 Cermak Rd
Berwyn, IL 60402

6240 Cermak Rd
Berwyn, IL 60402

6242 Cermak Rd
Berwyn, IL 60402

6244 Cermak Rd
Berwyn, IL 60402

6245 Cermak Rd
Berwyn, IL 60402

6248 Cermak Rd
Berwyn, IL 60402

6251 Cermak Rd
Berwyn, IL 60402

6252 Cermak Rd
Berwyn, IL 60402

6257 Cermak Rd
Berwyn, IL 60402

154 S Bloomingdale Rd
Bloomingdale, IL 60108

100 W Randolph St
Chicago, IL 60601

1130 S Wabash Ave
#101
Chicago, IL 60605
Phone (312) 662-1904

1903 W 103rd St
Chicago, IL 60643
Phone (773) 233-7799

2800 W Devon Ave
Chicago, IL 60659

3934 W North Ave
Chicago, IL 60647
Phone (773) 667-8383

645 N Michigan Ave
Ste 1000
Chicago, IL 60611
Phone (312) 266-9696

698 Roosevelt Rd
Glen Ellyn, IL 60137
Phone (630) 545-2020

1960 Essington Rd
Ste 102
Joliet, IL 60435
Phone (815) 436-8605

1960 Essington Rd
Unit 2
Joliet, IL 60435

13231 W 143rd St
Lockport, IL 60491
Phone (708) 301-2020

4196 Il Route 83
Long Grove, IL 60047
Phone (847) 955-9999

3124 S Route 59
Ste 116
Naperville, IL 60564
Phone (630) 388-0606

705 E Ogden Ave
Naperville, IL 60563
Phone (630) 388-6606

Practitioners & affiliated clinicians

Practitioners 47

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 47

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1205959053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1917 CHERRY LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "60062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6233 W CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "60402",
            "telephone_number": "708-749-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE EYECARE PHYSICIANS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "GIBSON",
        "authorized_official_first_name": "CECELIA",
        "authorized_official_title_or_position": "OPHT. TECH",
        "authorized_official_telephone_number": "847-564-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.