Organization Active NPI

The Center for Corrective Eye Surgery, LLC

  • Ophthalmology Physician
  • McHenry, IL
National Provider Identifier
1336694108
Registry record updated Aug 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE CENTER FOR CORRECTIVE EYE SURGERY, LLC
Practice address
5400 W Elm St
Suite 120
McHenry, IL 60050-4010
Phone
(815) 363-2020
Fax
(224) 778-5134
NPI assigned
Aug 22, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2016

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

Authorized official

Name
Dr. Robert Leonard Epstein, M.D.
Title
Ceo and Owner
Phone
(847) 778-0415

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5400 W Elm St
Suite 120
McHenry, IL 60050-4010

Mailing address

5400 W Elm St
Suite 120
McHenry, IL 60050-4010
Phone (815) 363-2020

National Provider Directory

National Provider Directory

Locations

5400 W Elm St
Ste 120
McHenry, IL 60050
Phone (815) 271-5645

NPI Registry JSON

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1336694108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W ELM ST",
            "address_2": "SUITE 120",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504010",
            "telephone_number": "815-363-2020",
            "fax_number": "224-778-5134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W ELM ST",
            "address_2": "SUITE 120",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504010",
            "telephone_number": "815-363-2020",
            "fax_number": "224-778-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE CENTER FOR CORRECTIVE EYE SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "EPSTEIN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "CEO AND OWNER",
        "authorized_official_telephone_number": "847-778-0415",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.