Active NPI
Richard C Weinstein OD, LTD
- Optometrist
- East Dundee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-6648
- Legal business name
- RICHARD C WEINSTEIN OD, LTD
- Practice address
- 210 Penny Ave
Suite E
East Dundee, IL 60118-1458 - Phone
- (847) 426-3221
- Fax
- (847) 426-3461
- NPI assigned
- Oct 14, 2010
- Last updated
- Jun 7, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Richard C Weinstein, OD
- Title
- President
- Phone
- (847) 426-3221
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-6648 | IL | Primary |
Addresses
Primary practice location
210 Penny Ave
Suite E
East Dundee, IL 60118-1458
Mailing address
210 Penny Ave
Suite E
East Dundee, IL 60118-1458
Phone (847) 426-3221
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004584011 | Other | IL | BCBS IL |
| IL6648 | Other | IL | EYEMED |
| 8474263221 | Other | IL | VISION SERVICE PLAN |
National Provider Directory
National Provider DirectoryLocations
210 Penny Ave
Ste E
East Dundee, IL 60118
Phone (847) 426-3221
Practitioners & affiliated clinicians
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.
-
- Optometrist
- East Dundee, IL
- NPI 1447225529
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1307404800000",
"number": "1235449075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "210 PENNY AVE",
"address_2": "SUITE E",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181458",
"telephone_number": "847-426-3221",
"fax_number": "847-426-3461"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 PENNY AVE",
"address_2": "SUITE E",
"city": "EAST DUNDEE",
"state": "IL",
"postal_code": "601181458",
"telephone_number": "847-426-3221",
"fax_number": "847-426-3461"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RICHARD C WEINSTEIN OD, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-14",
"last_updated": "2011-06-07",
"status": "A",
"authorized_official_last_name": "WEINSTEIN",
"authorized_official_first_name": "RICHARD",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-426-3221",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-6648",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS IL",
"identifier": "004584011",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EYEMED",
"identifier": "IL6648",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VISION SERVICE PLAN",
"identifier": "8474263221",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in East Dundee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.