NPIMap

Organization Active NPI

Nova Eye Care Inc.

  • Optometrist
  • Naperville, IL
National Provider Identifier
1306160130
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046006455 Issued in IL
Legal business name
NOVA EYE CARE INC.
Practice address
931 W 75TH St
Naperville, IL 60565-1294
Phone
(630) 357-6662
Fax
(630) 357-6687
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Dr. John J. Gardner, O.D.NPI 1700942539
Title
Owner
Phone
(708) 598-1322

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 046006455 IL Primary

Addresses

Primary practice location

931 W 75TH St
Naperville, IL 60565-1294

Mailing address

931 W 75TH St
Naperville, IL 60565-1294
Phone (630) 357-6662

National Provider Directory

National Provider Directory

Locations

931 W 75th St
Naperville, IL 60565
Phone (630) 357-6662

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": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1306160130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 W 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651294",
            "telephone_number": "630-357-6662",
            "fax_number": "630-357-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 W 75TH ST",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605651294",
            "telephone_number": "630-357-6662",
            "fax_number": "630-357-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA EYE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-598-1322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.