Active NPI
Rosanova Eyecare LLC
- Ophthalmology Physician
- Hoffman Estates, IL
National Provider Identifier
1265476725
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036067273
- Legal business name
- ROSANOVA EYECARE LLC
- Practice address
- 1555 N Barrington Rd
Dob 1, Suite 330
Hoffman Estates, IL 60169-4033 - Phone
- (847) 882-8680
- Fax
- (877) 776-1220
- NPI assigned
- Jun 15, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mark Anthony Rosanova, M.D.
- Title
- President
- Phone
- (847) 882-8680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036067273 | IL | Primary |
Addresses
Primary practice location
1555 N Barrington Rd
Dob 1, Suite 330
Hoffman Estates, IL 60169-4033
Mailing address
5872 N Milwaukee Ave
Chicago, IL 60646-5425
Phone (773) 594-0000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01634901 | Other | IL | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
101 Lions Dr
Ste 120
Barrington, IL 60010
Phone (773) 594-0000
1555 N Barrington Rd
Ste 330
Hoffman Estates, IL 60169
Phone (773) 594-0000
1555 N Barrington Rd
Ste 330
Hoffman Estates, IL 60169
Phone (847) 882-8680
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Hoffman Estates, IL
- NPI 1326129412
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1623801600000",
"number": "1265476725",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5872 N MILWAUKEE AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606465425",
"telephone_number": "773-594-0000",
"fax_number": "773-594-0017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1555 N BARRINGTON RD",
"address_2": "DOB 1, SUITE 330",
"city": "HOFFMAN ESTATES",
"state": "IL",
"postal_code": "601694033",
"telephone_number": "847-882-8680",
"fax_number": "877-776-1220"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSANOVA EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-15",
"last_updated": "2021-06-16",
"certification_date": "2021-06-16",
"status": "A",
"authorized_official_last_name": "ROSANOVA",
"authorized_official_first_name": "MARK",
"authorized_official_middle_name": "ANTHONY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-882-8680",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036067273",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "01634901",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hoffman Estates, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2021; 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.