Active NPI
Orland Eye, LTD
- Optometrist
- Orland Park, IL
National Provider Identifier
1356601041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007647
- Legal business name
- ORLAND EYE, LTD
- Practice address
- 15410 S Harlem Ave
Orland Park, IL 60462-4333 - Phone
- (708) 633-0011
- Fax
- (708) 633-9111
- NPI assigned
- May 29, 2012
- Last updated
- Aug 27, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gloria Jean Docherty, OD
- Title
- President
- Phone
- (708) 650-2522
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007647 | IL | Primary |
Addresses
Primary practice location
15410 S Harlem Ave
Orland Park, IL 60462-4333
Mailing address
15410 S Harlem Ave
Orland Park, IL 60462-4333
Phone (708) 633-0011
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
15410 S Harlem Ave
Orland Park, IL 60462
Phone (708) 633-0011
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.
-
- Optometrist
- Orland Park, IL
- NPI 1083704282
-
- Optometrist
- Orland Park, IL
- NPI 1417054131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346025600000",
"number": "1356601041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15410 S HARLEM AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624333",
"telephone_number": "708-633-0011",
"fax_number": "708-633-9111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15410 S HARLEM AVE",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604624333",
"telephone_number": "708-633-0011",
"fax_number": "708-633-9111"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ORLAND EYE, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-29",
"last_updated": "2012-08-27",
"status": "A",
"authorized_official_last_name": "DOCHERTY",
"authorized_official_first_name": "GLORIA",
"authorized_official_middle_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-650-2522",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046007647",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
- Oral & Maxillofacial Surgery of Chicago P.C.
- Orland Behavioral Health
- Orland Chiropractic and Physical Medicine, LLC
- Orland Dental Studio PLLC
- Orland Elite Dental Inc
- Orland Eyeworks, LTD
- Orland Family Care
- Orland Family Institute LLC
- Orland Fire Protection District
- Orland Hills Pharmacy, Inc. (Hills Drug Orland)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.