NPIMap

Organization Active NPI

Richard F Butz

Doing business as Professional Eyecare Center

  • Health Maintenance Organization
  • Naperville, IL
National Provider Identifier
1376726000
Registry record updated Aug 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
46-7682 Issued in IL
Legal business name
RICHARD F BUTZ
Doing business as
Professional Eyecare Center
Practice address
1112 S Washington St
Suite 201
Naperville, IL 60540-7959
Phone
(630) 355-6878
Fax
(630) 355-0043
NPI assigned
Dec 17, 2007
Last updated
Aug 13, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2008

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

Authorized official

Name
Dr. Richard F. Butz, O.D.NPI 1710076245
Title
Owner
Phone
(630) 355-6878

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)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 46-7682 IL Primary

Addresses

Primary practice location

1112 S Washington St
Suite 201
Naperville, IL 60540-7959

Mailing address

1112 S Washington St
Suite 201
Naperville, IL 60540-7959
Phone (630) 355-6878

Other identifiers 1

IdentifierTypeStateIssuer
36368668FMedicaidIL

Other names 1

  • Professional Eyecare Center Doing business as

National Provider Directory

National Provider Directory

Locations

1112 S Washington St
Ste 201
Naperville, IL 60540
Phone (630) 355-6878

Practitioners & affiliated clinicians

Practitioners 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1197849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1376726000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "630-355-6878",
            "fax_number": "630-355-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S WASHINGTON ST",
            "address_2": "SUITE 201",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605407959",
            "telephone_number": "630-355-6878",
            "fax_number": "630-355-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD F BUTZ",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-17",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "BUTZ",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-355-6878",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "IL",
            "license": "46-7682",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "36368668F",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Professional Eyecare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2008; 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.