Organization Active NPI

Eye Care Associates of Northern Illinois PC

  • Optometrist
  • Westchester, IL
National Provider Identifier
1275647729
Registry record updated Feb 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE CARE ASSOCIATES OF NORTHERN ILLINOIS PC
Practice address
10215 W Roosevelt Rd
Westchester, IL 60154-2576
Phone
(708) 345-7005
Fax
(708) 345-7043
NPI assigned
Aug 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2011

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

Authorized official

Name
Dr. Todd Arthur Robert, O.D.
Title
Owning Partner
Phone
(630) 960-0456

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

10215 W Roosevelt Rd
Westchester, IL 60154-2576

Mailing address

10215 W Roosevelt Rd
Westchester, IL 60154-2576
Phone (708) 345-7005

Other identifiers 1

IdentifierTypeStateIssuer
01626807OtherILBCBS OF IL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297728000000",
    "number": "1275647729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10215 W ROOSEVELT RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542576",
            "telephone_number": "708-345-7005",
            "fax_number": "708-345-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 W ROOSEVELT RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601542576",
            "telephone_number": "708-345-7005",
            "fax_number": "708-345-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE ASSOCIATES OF NORTHERN ILLINOIS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-19",
        "last_updated": "2011-02-15",
        "status": "A",
        "authorized_official_last_name": "ROBERT",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "ARTHUR",
        "authorized_official_title_or_position": "OWNING PARTNER",
        "authorized_official_telephone_number": "630-960-0456",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01626807",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.