Organization Active NPI

Mobile Eyes Home Care SC

  • Optometrist
  • Schaumburg, IL
National Provider Identifier
1225357205
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009351 Issued in IL
Legal business name
MOBILE EYES HOME CARE SC
Practice address
1 Woodfield Mall
Schaumburg, IL 60173-5012
Phone
(224) 355-4105
NPI assigned
May 29, 2010
Last updated
Aug 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Sonya Patel, OD
Title
Optometrist
Phone
(224) 355-4105

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046009351 IL Primary
OptometristGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046008941 IL

Addresses

Primary practice location

1 Woodfield Mall
Schaumburg, IL 60173-5012

Mailing address

17W335 Stone Ave
Bensenville, IL 60106-2822

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1275091200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1225357205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17W335 STONE AVE",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WOODFIELD MALL",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735012",
            "telephone_number": "224-355-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE EYES HOME CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-29",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SONYA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "224-355-4105",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009351",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.