Suburban Optometric Group, P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

060.007985 Issued in IL

Legal business name

SUBURBAN OPTOMETRIC GROUP, P.C.

Practice address

10001 W 143Rd St
Orland Park, IL 60462-2026

Phone

(708) 349-2600

NPI assigned

Jan 30, 2007

Organization subpart

Yes

Parent organization

SUBURBAN OPTOMETRIC GROUPAs reported in NPPES

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

Authorized official

Name

Maggie M Zahara

Title

Manager

Phone

(708) 349-2600

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

DRS Vanlente Leahy

Practitioners 2

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

• Michael Leahy, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1841240389
  NPD (past)
• Robert Vanlente, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1629028444
  NPD (past)

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1235275652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10001 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622026",
            "telephone_number": "708-349-2600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10001 W 143RD ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604622026",
            "telephone_number": "708-349-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN OPTOMETRIC GROUP, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUBURBAN OPTOMETRIC GROUP",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "ZAHARA",
        "authorized_official_first_name": "MAGGIE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "708-349-2600"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060.007985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "DA8522",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Beth Struwing, PT
• Emily Stuart-Morse, LSW
• Erica L. Sturm, CGC
• Christine M Styx
• Denise Styx, DT
• Suburban Surgery
• Vanessa Suchecki
• Amgad Sughayer, PHARMD
• Nisreen Sughayer
• Mary Kate Sulikowski

• Optometrist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Optometrist in Illinois

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