Active NPI
DRS. Aide and Assell Optometrists, PC
- Optometrist
- Schaumburg, IL
National Provider Identifier
1306891775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 152W00000X
- Legal business name
- DRS. AIDE AND ASSELL OPTOMETRISTS, PC
- Practice address
- 2441 W Schaumburg Rd
Schaumburg, IL 60194-3886 - Phone
- (847) 301-2727
- Fax
- (847) 301-0130
- NPI assigned
- May 24, 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
- Janice Simkus
- Title
- Insurance Biller
- Phone
- (847) 301-2727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 152W00000X | IL | Primary |
Addresses
Primary practice location
2441 W Schaumburg Rd
Schaumburg, IL 60194-3886
Mailing address
2441 W Schaumburg Rd
Schaumburg, IL 60194-3886
Phone (847) 301-2727
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046006098 | Medicaid | IL | |
| 047-928514 | Other | IL | DR. AIDE'S TPA & DPA |
| 047006098 | Other | IL | DR. MORGAN TPA & DPA |
Other names 1
- Illinois Eye Care Centers
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20060803000468 | IL | Part B Supplier - Clinic/Group Practice | 4486667763 |
Receives reassigned benefits from 4 practitioners Practice locations: Schaumburg, IL; Palatine, IL; Hoffman Estates, IL |
National Provider Directory
National Provider DirectoryLocations
1115 N Roselle Rd
Hoffman Estates, IL 60169
Phone (847) 885-2030
2441 W Schaumburg Rd
Schaumburg, IL 60194
Phone (847) 301-2727
Practitioners & affiliated clinicians
Practitioners 4
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": "1148428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1306891775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2441 W SCHAUMBURG RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943886",
"telephone_number": "847-301-2727",
"fax_number": "847-301-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2441 W SCHAUMBURG RD",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "601943886",
"telephone_number": "847-301-2727",
"fax_number": "847-301-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRS. AIDE AND ASSELL OPTOMETRISTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-24",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "SIMKUS",
"authorized_official_first_name": "JANICE",
"authorized_official_title_or_position": "INSURANCE BILLER",
"authorized_official_telephone_number": "847-301-2727"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "152W00000X",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046006098",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. AIDE'S TPA & DPA",
"identifier": "047-928514",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DR. MORGAN TPA & DPA",
"identifier": "047006098",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Illinois Eye Care Centers",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Illinois Eye Care Centers",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.