Organization Active NPI

North Suburban Ophthalmologists, S.C.

  • Ophthalmology Physician
  • Glenview, IL
National Provider Identifier
1346463429
Registry record updated Feb 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTH SUBURBAN OPHTHALMOLOGISTS, S.C.
Practice address
2150 Pfingsten Rd
Suite 2240
Glenview, IL 60026-1361
Phone
(847) 724-5608
Fax
(847) 724-8653
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2013

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

Authorized official

Name
Dr. Frederick Albert Scelzo, M.D.NPI 1871578310
Title
Vice-President
Phone
(847) 724-5608

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

Addresses

Primary practice location

2150 Pfingsten Rd
Suite 2240
Glenview, IL 60026-1361

Mailing address

2150 Pfingsten Rd
Suite 2240
Glenview, IL 60026-1361
Phone (847) 724-5608

Other identifiers 1

IdentifierTypeStateIssuer
1615899OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

1015 Central St
Evanston, IL 60201
Phone (847) 328-6060

2150 Pfingsten Rd
Ste 2240
Glenview, IL 60026
Phone (847) 724-5608

Practitioners & affiliated clinicians

Practitioners 2

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": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360108800000",
    "number": "1346463429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD",
            "address_2": "SUITE 2240",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261361",
            "telephone_number": "847-724-5608",
            "fax_number": "847-724-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 PFINGSTEN RD",
            "address_2": "SUITE 2240",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261361",
            "telephone_number": "847-724-5608",
            "fax_number": "847-724-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SUBURBAN OPHTHALMOLOGISTS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2013-02-06",
        "status": "A",
        "authorized_official_last_name": "SCELZO",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "ALBERT",
        "authorized_official_title_or_position": "VICE-PRESIDENT",
        "authorized_official_telephone_number": "847-724-5608",
        "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1615899",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenview, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.