Organization Active NPI

Family Eye Care, PC

  • Optometrist
  • Geneva, IL
National Provider Identifier
1346366689
Registry record updated Oct 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008657 Issued in IL
Legal business name
FAMILY EYE CARE, PC
Practice address
1871 S Randall Rd
Geneva, IL 60134-4434
Phone
(630) 377-2020
Fax
(630) 584-2052
NPI assigned
Mar 21, 2007
Last updated
Oct 30, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2014

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

Authorized official

Name
Nancy A Christ, O.D.NPI 1851463780
Title
Owner
Phone
(630) 377-2020

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046008399 IL
Optometrist 152W00000X 046008657 IL Primary

Addresses

Primary practice location

1871 S Randall Rd
Geneva, IL 60134-4434

Mailing address

1871 S Randall Rd
Geneva, IL 60134-4434
Phone (630) 377-2020

Other identifiers 3

IdentifierTypeStateIssuer
1326130311OtherILNPI
1851463780OtherILNPI
1346366689OtherILNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111216000488 IL Part B Supplier - Clinic/Group Practice 7911172192 Receives reassigned benefits from 2 practitioners
Practice locations: Geneva, IL

National Provider Directory

National Provider Directory

Locations

1871 S Randall Rd
Geneva, IL 60134
Phone (630) 208-7810

1871 S Randall Rd
Ste A
Geneva, IL 60134
Phone (630) 377-2020

620 S Randall Rd
St Charles, IL 60174
Phone (630) 377-2020

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1346366689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1871 S RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344434",
            "telephone_number": "630-377-2020",
            "fax_number": "630-584-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1871 S RANDALL RD",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344434",
            "telephone_number": "630-377-2020",
            "fax_number": "630-584-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYE CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "CHRIST",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-377-2020",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008399",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008657",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1326130311",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1851463780",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1346366689",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; 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.

Verify at the official NPI Registry.