Organization Active NPI

Concept Eye Care, LTD.

  • Corneal and Contact Management Optometrist
  • Chicago, IL
National Provider Identifier
1356559595
Registry record updated Jul 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Corneal and Contact Management OptometristTaxonomy code 152WC0802X
License
0046008464 Issued in IL
Legal business name
CONCEPT EYE CARE, LTD.
Practice address
1605 E 55TH St
1St FLR
Chicago, IL 60615-5803
Phone
(773) 363-0202
Fax
(773) 363-0201
NPI assigned
May 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2007

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

Authorized official

Name
Dr. Cynthia Lorrain Reynolds-Temple, O.D.
Title
President
Phone
(773) 363-0202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Corneal and Contact Management OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WC0802X 0046008464 IL Primary

Addresses

Primary practice location

1605 E 55TH St
1St FLR
Chicago, IL 60615-5803

Mailing address

1605 E 55TH St
1St FLR
Chicago, IL 60615-5803
Phone (773) 363-0202

National Provider Directory

National Provider Directory

Locations

1605 E 55th St
Ste 1
Chicago, IL 60615
Phone (773) 363-0202

Practitioners & affiliated clinicians

Practitioners 1

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": "1179619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185235200000",
    "number": "1356559595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 E 55TH ST",
            "address_2": "1ST FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155803",
            "telephone_number": "773-363-0202",
            "fax_number": "773-363-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 E 55TH ST",
            "address_2": "1ST FLR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155803",
            "telephone_number": "773-363-0202",
            "fax_number": "773-363-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCEPT EYE CARE, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-20",
        "last_updated": "2007-07-24",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS-TEMPLE",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "LORRAIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-363-0202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "0046008464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; 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.