Organization Active NPI

Bright Sight Eyecare LLC

  • Optometrist
  • Mt Prospect, IL
National Provider Identifier
1265165666
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
BRIGHT SIGHT EYECARE LLC
Practice address
200 W Northwest Hwy Ste 104
Mt Prospect, IL 60056-3142
Phone
(630) 946-1414
Fax
(630) 946-1410
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Authorized official

Name
Delaram Bahmani, ODNPI 1356968176
Title
Optometrist
Phone
(630) 946-1414

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

200 W Northwest Hwy Ste 104
Mt Prospect, IL 60056-3142

Mailing address

200 W Northwest Hwy Ste 104
Mt Prospect, IL 60056-3142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221223001175 IL Part B Supplier - Clinic/Group Practice 4880064443 Receives reassigned benefits from 1 practitioner
Practice locations: Mount Prospect, IL

National Provider Directory

National Provider Directory

Locations

200 W Northwest Hwy
Ste 104
Mt Prospect, IL 60056
Phone (630) 946-1414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677888000000",
    "number": "1265165666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W NORTHWEST HWY STE 104",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W NORTHWEST HWY STE 104",
            "city": "MT PROSPECT",
            "state": "IL",
            "postal_code": "600563142",
            "telephone_number": "630-946-1414",
            "fax_number": "630-946-1410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHT SIGHT EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A",
        "authorized_official_last_name": "BAHMANI",
        "authorized_official_first_name": "DELARAM",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-946-1414",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Prospect, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2023; 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.