Dempster Eye Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-008065 Issued in IL

Legal business name

DEMPSTER EYE CARE PC

Practice address

5901 Dempster St
Suite 101
Morton Grove, IL 60053-3014

Phone

(847) 470-1115

Fax

(847) 470-1141

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sun Ae Ma, O.D.

Title

Optometrist

Phone

(847) 470-1115

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Sun Ae Ma, OD

  • Optometrist
  • Morton Grove, IL
  • NPI 1750375622
  Medicare reassignment NPD

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1225224165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 DEMPSTER ST",
            "address_2": "SUITE 101",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533014",
            "telephone_number": "847-470-1115",
            "fax_number": "847-470-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 DEMPSTER ST",
            "address_2": "SUITE 101",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533014",
            "telephone_number": "847-470-1115",
            "fax_number": "847-470-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMPSTER EYE CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MA",
        "authorized_official_first_name": "SUN",
        "authorized_official_middle_name": "AE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-470-1115",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eileen C. Deano, MD
• Michael Decolongon
• Pearlane Deguzman, RN
• Dehan Home Medical Equipment
• Demp Fern MG Dental Corp.
• Sara Dickie, MD
• Amy Dillon
• Dima Hanna
• Michael James Dimarco, MD
• Zenong Ding, L.AC.

• Optometrist in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; 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.