Organization Active NPI

Kenneth J. Lossman, O.D., P.C.

  • Optometrist
  • Lake Zurich, IL
National Provider Identifier
1356464952
Registry record updated Apr 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046006871 Issued in IL
Legal business name
KENNETH J. LOSSMAN, O.D., P.C.
Practice address
950 W Main St
Suite 125
Lake Zurich, IL 60047-3417
Phone
(847) 726-2020
Fax
(847) 726-2036
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2014

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

Authorized official

Name
Dr. Kenneth J Lossman, O.D.
Title
President
Phone
(847) 726-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 046006871 IL Primary

Addresses

Primary practice location

950 W Main St
Suite 125
Lake Zurich, IL 60047-3417

Mailing address

950 West Main St
Suite 125
Lake Zurich, IL 60047
Phone (847) 726-2020

Other identifiers 2

IdentifierTypeStateIssuer
CD3263OtherILRAILROAD MEDICARE
1356464952MedicaidIL

Other names 1

  • Lossman Eye Care Associates Doing business as

National Provider Directory

National Provider Directory

Locations

96 N Kennedy Dr
Carpentersville, IL 60110

96 N Kennedy Dr
Ste 103
Carpentersvle, IL 60110
Phone (847) 428-4884

1114 W Devon Ave
Elk Grove Village, IL 60007
Phone (847) 895-7222

950 W State Route 22
Ste 125
Lake Zurich, IL 60047
Phone (847) 726-2020

1237 S Rand Rd
Lake Zurich, IL 60047
Phone (847) 726-2020

Practitioners & affiliated clinicians

Practitioners 3

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": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397001600000",
    "number": "1356464952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 WEST MAIN ST",
            "address_2": "SUITE 125",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "60047",
            "telephone_number": "847-726-2020",
            "fax_number": "847-726-2036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 W MAIN ST",
            "address_2": "SUITE 125",
            "city": "LAKE ZURICH",
            "state": "IL",
            "postal_code": "600473417",
            "telephone_number": "847-726-2020",
            "fax_number": "847-726-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH J. LOSSMAN, O.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2014-04-09",
        "status": "A",
        "authorized_official_last_name": "LOSSMAN",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-726-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046006871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD3263",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1356464952",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lossman Eye Care Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lake Zurich, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2014; 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.