Active NPI
Premier Eye Care & Surgery LTD
- Ophthalmology Physician
- Buffalo Grove, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- PREMIER EYE CARE & SURGERY LTD
- Practice address
- 1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970 - Phone
- (847) 459-6060
- Fax
- (847) 459-9797
- NPI assigned
- Dec 8, 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
- Dr. Joseph P Kiernan, MD
- Title
- Owner
- Phone
- (847) 459-6060
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970
Mailing address
1120 W Lake Cook Rd Ste C
Buffalo Grove, IL 60089-1970
Phone (847) 459-6060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040720001128 | IL | Part B Supplier - Clinic/Group Practice | 6305826520 |
Receives reassigned benefits from 13 practitioners Practice locations: Barrington, IL; Buffalo Grove, IL |
National Provider Directory
National Provider DirectoryLocations
27750 W Highway 22
Ste 200
Barrington, IL 60010
Phone (847) 382-4116
450 W Il Route 22
Ste 200
Barrington, IL 60010
1120 W Lake Cook Rd
Buffalo Grove, IL 60089
Phone (847) 459-6060
1120 W Lake Cook Rd
Ste C
Buffalo Grove, IL 60089
Phone (847) 459-6060
Practitioners & affiliated clinicians
Practitioners 15
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": "1165536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1362960000000",
"number": "1306905005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1120 W LAKE COOK RD STE C",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891970",
"telephone_number": "847-459-6060",
"fax_number": "847-459-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1120 W LAKE COOK RD STE C",
"city": "BUFFALO GROVE",
"state": "IL",
"postal_code": "600891970",
"telephone_number": "847-459-6060",
"fax_number": "847-459-9797"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PREMIER EYE CARE & SURGERY LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-08",
"last_updated": "2013-03-11",
"status": "A",
"authorized_official_last_name": "KIERNAN",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-459-6060",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Buffalo Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; 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.