Ims Services Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009278 Issued in IL

Legal business name

IMS SERVICES INC

Practice address

2424 W Jefferson St
Joliet, IL 60435-6429

Phone

(815) 730-9395

NPI assigned

Nov 11, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Marlin Khouri-Lotz, OD

Title

President

Phone

(773) 671-6279

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1289433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289433600000",
    "number": "1376844076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16533 W SPLIT RAIL DR",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604414691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2424 W JEFFERSON ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356429",
            "telephone_number": "815-730-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMS SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-11",
        "last_updated": "2010-11-11",
        "status": "A",
        "authorized_official_last_name": "KHOURI-LOTZ",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-671-6279",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Joliet, IL
• Providers in Joliet, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2010; 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.