Organization Active NPI

Industrial Optical Service, Inc

  • Optometrist
  • Winnetka, IL
National Provider Identifier
1336491596
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
INDUSTRIAL OPTICAL SERVICE, INC
Doing business as
Spex
Practice address
910 Green Bay Rd
Winnetka, IL 60093-1719
Phone
(847) 999-0234
NPI assigned
Oct 11, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Carrie Roitstein, OD
Title
Managing Doctor
Phone
(312) 673-7192

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

910 Green Bay Rd
Winnetka, IL 60093-1719

Mailing address

115 S. Lasalle Street
27TH Floor
Chicago, IL 60603

Other identifiers 3

IdentifierTypeStateIssuer
8825444OtherILMULTIPLAN
7235044OtherILAETNA
01636706OtherILBCBS OF IL

Other names 1

  • Spex Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1349913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1336491596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 S. LASALLE STREET",
            "address_2": "27TH FLOOR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 GREEN BAY RD",
            "city": "WINNETKA",
            "state": "IL",
            "postal_code": "600931719",
            "telephone_number": "847-999-0234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDUSTRIAL OPTICAL SERVICE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-11",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "ROITSTEIN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "MANAGING DOCTOR",
        "authorized_official_telephone_number": "312-673-7192",
        "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": "MULTIPLAN",
            "identifier": "8825444",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7235044",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL",
            "identifier": "01636706",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spex",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winnetka, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.