NPIMap

Organization Active NPI

Eye Q Optique Inc

  • Eyewear Supplier
  • Buffalo Grove, IL
National Provider Identifier
1235489469
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EYE Q OPTIQUE INC
Practice address
722 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3708
Phone
(847) 947-8875
Fax
(847) 589-1375
NPI assigned
Sep 14, 2012
Last updated
Jul 13, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Authorized official

Name
Miss Narmina Guseynova
Title
Owner
Phone
(847) 947-8875

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary
Optometrist 152W00000X IL
Optician 156FX1800X IL

Addresses

Primary practice location

722 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3708

Mailing address

722 S Buffalo Grove Rd
Buffalo Grove, IL 60089-3708
Phone (847) 947-8875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130508000302 IL Part B Supplier - Clinic/Group Practice 8729225974 Receives reassigned benefits from 5 practitioners
Practice locations: Buffalo Grove, IL

National Provider Directory

National Provider Directory
Tax ID family
Eye Q Optique Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1855 W Taylor St
Rm 1075
Chicago, IL 60612

Practitioners & affiliated clinicians

Practitioners 5

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": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594598400000",
    "number": "1235489469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "722 S BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893708",
            "telephone_number": "847-947-8875",
            "fax_number": "847-589-1375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "722 S BUFFALO GROVE RD",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600893708",
            "telephone_number": "847-947-8875",
            "fax_number": "847-589-1375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE Q OPTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A",
        "authorized_official_last_name": "GUSEYNOVA",
        "authorized_official_first_name": "NARMINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-947-8875",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2020; 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.