Oak Park Eye Center S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

007001910 Issued in IL

Legal business name

OAK PARK EYE CENTER S.C.

Practice address

7638 W North Ave
Elmwood Park, IL 60707-4157

Phone

(708) 452-4257

Fax

(708) 452-4283

NPI assigned

Sep 28, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael J Hennessey, MDNPI 1912994393

Title

President

Phone

(708) 452-4257

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 5

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

• Michael Hennessey, M.D.

  • Ophthalmology Physician
  • Elmwood Park, IL
  • NPI 1912994393
  Medicare reassignment NPD Authorized official
• Raymond Rojas, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1144724899
  Medicare reassignment NPD
• Richard J Grostern, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1902881170
  NPD
• Hreem Neel Patel, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1982999058
  NPD (past)
• Anjali Tannan, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1861713455
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728000000000",
    "number": "1386736650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7638 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074157",
            "telephone_number": "708-452-4257",
            "fax_number": "708-452-4283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7638 W NORTH AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607074157",
            "telephone_number": "708-452-4257",
            "fax_number": "708-452-4283"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Harger Rd Ste 800",
            "address_purpose": "LOCATION",
            "city": "Oak Brook",
            "state": "IL",
            "postal_code": "605231825",
            "country_code": "US",
            "telephone_number": "630-279-3673",
            "fax_number": "630-279-3843",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OAK PARK EYE CENTER S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A",
        "authorized_official_last_name": "HENNESSEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-452-4257",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "007001910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neurolab Neurodiagnostic Services, SC
• Nexus at Elmwood Park, LLC
• Nexus at Elmwood Park, LLC
• Christina Nguyen
• A. Gwendolyn Noble, M.D., PH.D.
• Oko Medical Eyecare
• John Albert Orlando, DC
• Joseph F Orrico Jr., D.D.S
• Rosa Ortiz, MSW, QMHP
• Debra Pallante

• Ophthalmology Physician in Elmwood Park, IL
• Providers in Elmwood Park, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2024; 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.