Glen Ellyn Family Eye Care Associates LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

060005507 Issued in IL

Legal business name

GLEN ELLYN FAMILY EYE CARE ASSOCIATES LTD

Practice address

510 N Main St
Glen Ellyn, IL 60137-5104

Phone

(630) 858-3937

NPI assigned

Apr 11, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sylvia Ann Bartlett

Title

Secretary

Phone

(630) 858-3937

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Tom G Panos, O.D.

  • Optometrist
  • Glen Ellyn, IL
  • NPI 1629127881
  NPD (past)
• Regina Schwan

  • Optometrist
  • Glen Ellyn, IL
  • NPI 1780781567
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261353600000",
    "number": "1295958643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375104",
            "telephone_number": "630-858-3937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 N MAIN ST",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601375104",
            "telephone_number": "630-858-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLEN ELLYN FAMILY EYE CARE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2009-12-21",
        "status": "A",
        "authorized_official_last_name": "BARTLETT",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-858-3937",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060005507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas R Gibbs, DDS
• Allison Gile
• Gina Ruane Prof Corp
• Glen Ellyn C C School Dist 89
• Glen Ellyn Family Dental Care
• Glen Ellyn Family Eye Care LLC
• Glen Ellyn Ophthalmology Associates, LTD.
• Glen Ellyn Orthodontic Associates, P.C.
• Glen Ellyn Orthodontics, PC
• Glen Ellyn Pediatric Dentistry ,P.C..

• Optometrist in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2009; 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.