Organization Active NPI

Eye on Devon Inc.

  • Optometrist
  • Lincolnwood, IL
National Provider Identifier
1295103695
Registry record updated Oct 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYE ON DEVON INC.
Practice address
3368 W Devon Ave
Lincolnwood, IL 60712-1317
Phone
(773) 764-5300
NPI assigned
Sep 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2024

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

Authorized official

Name
Yair Shlomo Elias, ODNPI 1841501194
Title
President / Owner
Phone
(224) 464-1082

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

3368 W Devon Ave
Lincolnwood, IL 60712-1317

Mailing address

3368 W Devon Ave
Lincolnwood, IL 60712-1317
Phone (773) 764-5300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241104000021 IL Part B Supplier - Clinic/Group Practice 5799218483 Receives reassigned benefits from 2 practitioners
Practice locations: Lincolnwood, IL

National Provider Directory

National Provider Directory

Locations

3368 W Devon Ave
Lincolnwood, IL 60712
Phone (773) 764-5300

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1441152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728259200000",
    "number": "1295103695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3368 W DEVON AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121317",
            "telephone_number": "773-764-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3368 W DEVON AVE",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607121317",
            "telephone_number": "773-764-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE ON DEVON INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-02",
        "last_updated": "2024-10-07",
        "certification_date": "2024-10-07",
        "status": "A",
        "authorized_official_last_name": "ELIAS",
        "authorized_official_first_name": "YAIR",
        "authorized_official_middle_name": "SHLOMO",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "224-464-1082",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; 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.

Verify at the official NPI Registry.