Simpson Eye Associates LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

SIMPSON EYE ASSOCIATES LTD

Practice address

11620 Algonquin Rd
Huntley, IL 60142-7175

Phone

(847) 669-5600

Fax

(847) 426-0299

NPI assigned

May 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Kenneth Victor Melchionna, D.O.NPI 1982660866

Title

Ceo

Phone

(847) 426-0227

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Simpson Eye Associates LTD

  • Ophthalmology Physician
  • Hoffman Estates, IL
  • NPI 1235376021

  O20040820000087

  Same enrollment
• Simpson Eye Associates LTD

  • Ophthalmology Physician
  • Crystal Lake, IL
  • NPI 1851348601

  O20040820000087

  Same enrollment
• Simpson Eye Associates LTD

  • Ophthalmology Physician
  • West Dundee, IL
  • NPI 1912099276

  O20040820000087

  Same enrollment

Tax ID family

Simpson Eye Associates LTD3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Simpson Eye Associates LTD

  • Ophthalmology Physician
  • Hoffman Estates, IL
  • NPI 1235376021
  NPD tax ID
• Simpson Eye Associates LTD

  • Ophthalmology Physician
  • West Dundee, IL
  • NPI 1912099276
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kenneth V Melchionna, D.O

  • Ophthalmology Physician
  • Dundee, IL
  • NPI 1982660866
  NPD (past) Authorized official

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

{
    "created_epoch": "1148601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236211200000",
    "number": "1376599696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SPRING HILL RING RD",
            "address_2": "SUITE 2020",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181296",
            "telephone_number": "847-426-0227",
            "fax_number": "847-426-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 ALGONQUIN RD",
            "city": "HUNTLEY",
            "state": "IL",
            "postal_code": "601427175",
            "telephone_number": "847-669-5600",
            "fax_number": "847-426-0299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIMPSON EYE ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-26",
        "last_updated": "2009-03-05",
        "status": "A",
        "authorized_official_last_name": "MELCHIONNA",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "847-426-0227",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelly Jean Smith, PHARM.D.
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• Ophthalmology Physician in Huntley, IL
• Providers in Huntley, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2009; 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.