NPIMap

Organization Active NPI

Robert J S Mack, MD PC

Doing business as Mack Eye Center

  • Ophthalmology Physician
  • Hoffman Est, IL
National Provider Identifier
1255451563
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROBERT J S MACK, MD PC
Doing business as
Mack Eye Center
Practice address
1220 W Higgins Rd
Ste 102
Hoffman Est, IL 60169-4033
Phone
(847) 755-9393
Fax
(847) 755-1560
NPI assigned
Mar 30, 2007
Last updated
Dec 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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

Authorized official

Name
Dr. Robert J Mack, MDNPI 1932107778
Title
President
Phone
(847) 755-9393

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

1220 W Higgins Rd
Ste 102
Hoffman Est, IL 60169-4033

Mailing address

1220 W Higgins Rd
Ste 102
Hoffman Est, IL 60169-4033
Phone (847) 755-9393

Other identifiers 1

IdentifierTypeStateIssuer
6046380001OtherILNATIONAL GOVERNMENT SERVICES

Other names 1

  • Mack Eye Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060215000822 IL Part B Supplier - Clinic/Group Practice 7416962139 Receives reassigned benefits from 5 practitioners
Practice locations: Hoffman Estates, IL

National Provider Directory

National Provider Directory

Locations

1220 W Higgins Rd
#102
Hoffman Estates, IL 60169
Phone (847) 755-9393

Practitioners & affiliated clinicians

Practitioners 12

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": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1255451563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 W HIGGINS RD",
            "address_2": "STE 102",
            "city": "HOFFMAN EST",
            "state": "IL",
            "postal_code": "601694033",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 W HIGGINS RD",
            "address_2": "STE 102",
            "city": "HOFFMAN EST",
            "state": "IL",
            "postal_code": "601694033",
            "telephone_number": "847-755-9393",
            "fax_number": "847-755-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT J S MACK, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-755-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATIONAL GOVERNMENT SERVICES",
            "identifier": "6046380001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mack Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Mack Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hoffman Est, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 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.