Organization Active NPI

Quality Eye Care Clinic LTD

  • Optometrist
  • Elgin, IL
National Provider Identifier
1386800316
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-009959 Issued in IL
Legal business name
QUALITY EYE CARE CLINIC LTD
Practice address
502 Waverly Drive
Elgin, IL 60120-1392
Phone
(847) 697-7771
Fax
(847) 393-8153
NPI assigned
Jul 29, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2014

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

Authorized official

Name
Dr. Manal Hajali, ODNPI 1598942427
Title
President
Phone
(708) 692-6174

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-009959 IL Primary

Addresses

Primary practice location

502 Waverly Drive
Elgin, IL 60120-1392

Mailing address

502 Waverly Dr
Elgin, IL 60120-4082
Phone (708) 692-6174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090114000808 IL Part B Supplier - Clinic/Group Practice 0941363162 Receives reassigned benefits from 3 practitioners
Practice locations: Elgin, IL; Kildeer, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2121517Quality Eye Care Clinic502 Waverly Dr, Elgin, IL 60120Certificate of waiverNov 6, 2026

National Provider Directory

National Provider Directory

Locations

502 Waverly Dr
Elgin, IL 60120
Phone (847) 697-7771

20771 N Rand Rd
Ste I-2
Kildeer, IL 60047
Phone (847) 697-7771

Practitioners & affiliated clinicians

Practitioners 5

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

NPI Registry JSON

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

{
    "created_epoch": "1217289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418860800000",
    "number": "1386800316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 WAVERLY DR",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601204082",
            "telephone_number": "708-692-6174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 WAVERLY DRIVE",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601201392",
            "telephone_number": "847-697-7771",
            "fax_number": "847-393-8153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUALITY EYE CARE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-29",
        "last_updated": "2014-12-18",
        "status": "A",
        "authorized_official_last_name": "HAJALI",
        "authorized_official_first_name": "MANAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-692-6174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.