Organization Active NPI

Eye Physicians of Kankakee,LTD

  • Ophthalmology Physician
  • Bourbonnais, IL
National Provider Identifier
1265493449
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
EYE PHYSICIANS OF KANKAKEE,LTD
Practice address
372 Larry Power Rd
Suite 1
Bourbonnais, IL 60914-5190
Phone
(815) 933-5202
Fax
(815) 933-6531
NPI assigned
Mar 29, 2006
Last updated
Dec 13, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2011

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

Authorized official

Name
Dr. Steven J Burns, M.D.
Title
President
Phone
(815) 933-5202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

372 Larry Power Rd
Suite 1
Bourbonnais, IL 60914-5190

Mailing address

372 Larry Power Rd
Suite 1
Bourbonnais, IL 60914-5190
Phone (815) 933-5202

National Provider Directory

National Provider Directory

Locations

372 Larry Power Rd
Bourbonnais, IL 60914
Phone (815) 933-5202

555 W Court St
Ste 104
Kankakee, IL 60901
Phone (708) 424-8855

Practitioners & affiliated clinicians

Practitioners 1

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": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1265493449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 LARRY POWER RD",
            "address_2": "SUITE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145190",
            "telephone_number": "815-933-5202",
            "fax_number": "815-933-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 LARRY POWER RD",
            "address_2": "SUITE 1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145190",
            "telephone_number": "815-933-5202",
            "fax_number": "815-933-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF KANKAKEE,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-29",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-933-5202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bourbonnais, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.