Organization Active NPI

Beacon Eye Associates PC

  • Optometrist
  • Aurora, IL
National Provider Identifier
1275662819
Registry record updated Feb 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009329 Issued in IL
Legal business name
BEACON EYE ASSOCIATES PC
Practice address
2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078
Phone
(630) 892-1401
Fax
(630) 892-1404
NPI assigned
Mar 2, 2007
Last updated
Feb 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2012

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

Authorized official

Name
Dr. Evangelos Vatianou, O.D.NPI 1780633347
Title
Owner
Phone
(630) 892-1401

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009329 IL Primary

Addresses

Primary practice location

2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078

Mailing address

2003 Montgomery Rd
Suite 104
Aurora, IL 60504-9078
Phone (630) 892-1401

National Provider Directory

National Provider Directory

Locations

2003 Montgomery Rd
Ste 104
Aurora, IL 60504
Phone (630) 425-8221

10 E Merchants Dr
Oswego, IL 60543
Phone (630) 892-1401

221 S Randall Rd
St Charles, IL 60174
Phone (630) 549-2024

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": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328832000000",
    "number": "1275662819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-892-1401",
            "fax_number": "630-892-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 MONTGOMERY RD",
            "address_2": "SUITE 104",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605049078",
            "telephone_number": "630-892-1401",
            "fax_number": "630-892-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEACON EYE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-02-10",
        "status": "A",
        "authorized_official_last_name": "VATIANOU",
        "authorized_official_first_name": "EVANGELOS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-892-1401",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2012; 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.