Active NPI
Midwest Center for Vision, SC
- Ophthalmology Physician
- Downers Grove, IL
National Provider Identifier
1285685453
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- MIDWEST CENTER FOR VISION, SC
- Practice address
- 1327 Butterfield Rd
Suite 618
Downers Grove, IL 60515-1078 - Phone
- (630) 776-7670
- NPI assigned
- May 13, 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
- Charles S Ahn, MD
- Title
- Owner
- Phone
- (630) 776-7670
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
1327 Butterfield Rd
Suite 618
Downers Grove, IL 60515-1078
Mailing address
1327 Butterfield Rd
Suite 618
Downers Grove, IL 60515-1078
Phone (630) 776-7670
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147478400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1285685453",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1327 BUTTERFIELD RD",
"address_2": "SUITE 618",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151078",
"telephone_number": "630-776-7670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1327 BUTTERFIELD RD",
"address_2": "SUITE 618",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605151078",
"telephone_number": "630-776-7670"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIDWEST CENTER FOR VISION, SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-13",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "AHN",
"authorized_official_first_name": "CHARLES",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-776-7670",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.