Organization Active NPI

Chicagoland Eyecare Inc

  • Optometrist
  • Chicago, IL
National Provider Identifier
1306493473
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHICAGOLAND EYECARE INC
Practice address
1205 N Dearborn St
Chicago, IL 60610-2213
Phone
(312) 943-2020
Fax
(312) 275-7189
NPI assigned
Aug 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Authorized official

Name
Carrie Roitstein, ODNPI 1134180060
Title
Owner
Phone
(312) 943-2020

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

1205 N Dearborn St
Chicago, IL 60610-2213

Mailing address

1205 N Dearborn St
Chicago, IL 60610-2213
Phone (312) 943-2020

Other identifiers 1

IdentifierTypeStateIssuer
7646406OtherILAETNA

Other names 1

  • EFP Opticians on Dearborn Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://efpopticians.com Direct Chicagoland Eyecare Inc

National Provider Directory

National Provider Directory
Tax ID family
Chicagoland Eyecare Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1566432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701043200000",
    "number": "1306493473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102213",
            "telephone_number": "312-943-2020",
            "fax_number": "312-275-7189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N DEARBORN ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102213",
            "telephone_number": "312-943-2020",
            "fax_number": "312-275-7189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND EYECARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-22",
        "last_updated": "2023-11-27",
        "status": "A",
        "authorized_official_last_name": "ROITSTEIN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-943-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7646406",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://efpopticians.com",
            "affiliation": "Y",
            "affiliationName": "Chicagoland Eyecare Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "website",
            "address_1": "1205 N Dearborn St",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606102213",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "EFP Opticians on Dearborn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.