NPIMap

Organization Active NPI

Excel Eyecare Professionals LLC

  • Optometrist
  • Buffalo Grove, IL
National Provider Identifier
1376755371
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EXCEL EYECARE PROFESSIONALS LLC
Practice address
1133 McHenry Rd
Suite 108
Buffalo Grove, IL 60089-1369
Phone
(847) 478-9091
Fax
(847) 478-9095
NPI assigned
May 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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

Authorized official

Name
Dr. Leon F Kubicki Jr., ODNPI 1043381882
Title
Owner
Phone
(312) 493-7993

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1133 McHenry Rd
Suite 108
Buffalo Grove, IL 60089-1369

Mailing address

1133 McHenry Rd
Suite 108
Buffalo Grove, IL 60089-1369
Phone (847) 478-9091

National Provider Directory

National Provider Directory

Locations

1133 Old McHenry Rd
Ste 108
Buffalo Grove, IL 60089
Phone (847) 478-9091

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.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193702400000",
    "number": "1376755371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 MCHENRY RD",
            "address_2": "SUITE 108",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369",
            "telephone_number": "847-478-9091",
            "fax_number": "847-478-9095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 MCHENRY RD",
            "address_2": "SUITE 108",
            "city": "BUFFALO GROVE",
            "state": "IL",
            "postal_code": "600891369",
            "telephone_number": "847-478-9091",
            "fax_number": "847-478-9095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL EYECARE PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-10-30",
        "status": "A",
        "authorized_official_last_name": "KUBICKI",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-493-7993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 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.