Leonid Ayzenberg, M.D. Inc

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

LEONID AYZENBERG, M.D. INC

Practice address

303 E. Rand Rd
Mt Prospect, IL 60056-1508

Phone

(847) 537-6800

Fax

(847) 556-8847

NPI assigned

Dec 27, 2006

Last updated

Apr 26, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Leonid AyzenbergNPI 1164519526

Title

President/Owner

Phone

(847) 537-6800

Specialties & licenses 1

Addresses

Other names 1

• Eye Clinic Leonid Ayzenberg MD INC Other name

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 1

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.

• Leonid Ayzenberg, M.D

  • Ophthalmology Physician
  • Mount Prospect, IL
  • NPI 1164519526

  Optometrist

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650931200000",
    "number": "1235294398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 E. RAND RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561508",
            "telephone_number": "847-537-6800",
            "fax_number": "847-556-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 E. RAND RD",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600561508",
            "telephone_number": "847-537-6800",
            "fax_number": "847-556-8847"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2922 W Devon Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606591508",
            "country_code": "US",
            "telephone_number": "847-537-6800",
            "fax_number": "847-556-8847",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEONID AYZENBERG, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-11",
        "status": "A",
        "authorized_official_last_name": "AYZENBERG",
        "authorized_official_first_name": "LEONID",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "847-537-6800"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eye Clinic Leonid Ayzenberg MD INC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Eye Clinic Leonid Ayzenberg MD INC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jae Myung Lee, LPC
• Ronald D Lee, M.D.
• Legacy
• Legacy Medical Care Inc
• Richard Dale Lenzen, OD
• Let It Grow, LLC
• Amy Sliwa Lies, DDS
• Life Clinic, LLC
• Paul E. Litvin, D.D.S.
• Lolli Speech LLC

• Ophthalmology Physician in Mount Prospect, IL
• Providers in Mount Prospect, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2022; 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.