Eye Specialists of Chicago and Highland Park

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

EYE SPECIALISTS OF CHICAGO AND HIGHLAND PARK

Practice address

5600 W Addison St
Suite 102
Chicago, IL 60634-4401

Phone

(773) 736-1717

Fax

(773) 736-7538

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Valentina Ruehl

Title

Insurance Coordinator

Phone

(773) 736-1717

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Eye Specialists of Chicago and Highland Park

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1649215823

  7214827369

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Eye Specialists of Chicago and Highland Park

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1649215823

  O20040319001189

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 4

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

• Mark P Buranosky, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1558399949

  Ophthalmology

  Care Compare group NPD
• Steven C Eidt, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1275561557

  Ophthalmology

  Care Compare group NPD
• Caroline Kaczowka, OD

  • Optometrist
  • Chicago, IL
  • NPI 1669362935
  Care Compare group NPD
• David S Hillman, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Chicago, IL
  • NPI 1982632105
  Care Compare group

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1376673863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-736-1717",
            "fax_number": "773-736-7538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 W ADDISON ST",
            "address_2": "SUITE 102",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606344401",
            "telephone_number": "773-736-1717",
            "fax_number": "773-736-7538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE SPECIALISTS OF CHICAGO AND HIGHLAND PARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "RUEHL",
        "authorized_official_first_name": "VALENTINA",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "773-736-1717",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINASTAR DMERC PROV NUM",
            "identifier": "1164000001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eye Q Optique at Imd, Inc.
• Eye Q Optique Inc
• Eye Q Optique, Inc.
• Eye See Ravenswood, PC
• Eye Society LLC
• Eye Specialists of Chicago and Highland Park
• Eye Surgeons Optical
• Eye Surgeons SC
• Eye Surgeons SC
• Eyecare Associates Limited

• All providers in Chicago, IL
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.