Organization Active NPI

Goodworks Eyecare, LTD

  • Optometrist
  • Waukegan, IL
National Provider Identifier
1215986989
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008667 Issued in IL
Legal business name
GOODWORKS EYECARE, LTD
Practice address
3900 Fountain Square PL
Waukegan, IL 60085-6708
Phone
(847) 473-2568
NPI assigned
May 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Dr. Steven Michael Wexler, O.D.
Title
Optometrist
Phone
(847) 473-2568

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-008667 IL Primary

Addresses

Primary practice location

3900 Fountain Square PL
Waukegan, IL 60085-6708

Mailing address

3900 Fountain Square PL
Waukegan, IL 60085-6708
Phone (847) 473-2568

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1215986989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 FOUNTAIN SQUARE PL",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856708",
            "telephone_number": "847-473-2568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 FOUNTAIN SQUARE PL",
            "city": "WAUKEGAN",
            "state": "IL",
            "postal_code": "600856708",
            "telephone_number": "847-473-2568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOODWORKS EYECARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "WEXLER",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-473-2568",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukegan, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.