Organization Active NPI

Suburban Associates in Ophthalmology LLC

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1245583715
Registry record updated Oct 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SUBURBAN ASSOCIATES IN OPHTHALMOLOGY LLC
Practice address
1100 W Central Rd
Suite 205
Arlington Heights, IL 60005-2402
Phone
(847) 253-4040
Fax
(847) 253-3028
NPI assigned
Oct 22, 2012
Last updated
Oct 22, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2012

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

Authorized official

Name
Kimberlee Marie Curnyn, M.D.NPI 1669575296
Title
Owner
Phone
(847) 253-4040

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X Primary

Addresses

Primary practice location

1100 W Central Rd
Suite 205
Arlington Heights, IL 60005-2402

Mailing address

1555 Barrington Rd
BLDG. 3 Suite 3150
Hoffman Estates, IL 60169-1019
Phone (847) 885-4040

Other identifiers 1

IdentifierTypeStateIssuer
0001623492OtherILBCBS IL

National Provider Directory

National Provider Directory
Tax ID family
Suburban Associates in Ophthalmology LLC3 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.

Practitioners & affiliated clinicians

Practitioners 10

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": "1350864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350864000000",
    "number": "1245583715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1555 BARRINGTON RD",
            "address_2": "BLDG. 3 SUITE 3150",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601691019",
            "telephone_number": "847-885-4040",
            "fax_number": "847-885-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W CENTRAL RD",
            "address_2": "SUITE 205",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052402",
            "telephone_number": "847-253-4040",
            "fax_number": "847-253-3028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN ASSOCIATES IN OPHTHALMOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-22",
        "last_updated": "2012-10-22",
        "status": "A",
        "authorized_official_last_name": "CURNYN",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-253-4040",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "0001623492",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2012; 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.