Ertman Eye Group, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

ERTMAN EYE GROUP, LTD

Practice address

4650 W. North Ave.
Chicago, IL 60639

Phone

(773) 252-8152

Fax

(773) 252-8278

NPI assigned

Mar 8, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Eugene Ertman, OD

Title

President

Phone

(773) 252-8152

Specialties & licenses 1

Addresses

Other names 1

• Eugene Ertman, OD Other name

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1326179557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4650 W. NORTH AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "773-252-8152",
            "fax_number": "773-252-8278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4650 W. NORTH AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60639",
            "telephone_number": "773-252-8152",
            "fax_number": "773-252-8278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERTMAN EYE GROUP, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "ERTMAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-252-8152",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eugene Ertman, OD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Luca Eros
• Shelbi Erp, MD
• Daphne Erpelo
• Eric Errampalli, MD
• Azure Erskine
• Eugene Paul Ertman, O.D.
• Kaitlin Z Ervin, MD
• Stacy Ervin, APN
• Latasha Erving
• Constance Ervins

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.