Organization Active NPI

Richard C Weinstein OD, LTD

  • Optometrist
  • East Dundee, IL
National Provider Identifier
1235449075
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-6648 Issued in IL
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, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Authorized official

Name
Richard C Weinstein, ODNPI 1447225529
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
004584011OtherILBCBS IL
IL6648OtherILEYEMED
8474263221OtherILVISION SERVICE PLAN

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.