Organization Active NPI

Lasik-1 of Chicago, LLC

  • Ophthalmology Physician
  • Lombard, IL
National Provider Identifier
1386801439
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
LASIK-1 OF CHICAGO, LLC
Practice address
477 E Butterfield Rd
Ste. 101
Lombard, IL 60148-5618
Phone
(630) 493-4900
NPI assigned
May 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Authorized official

Name
Dr. Stephen B Wiles, M.D.
Title
Ceo/Owner
Phone
(816) 455-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

477 E Butterfield Rd
Ste. 101
Lombard, IL 60148-5618

Mailing address

211 NE 54TH St
Ste. 200
Kansas City, MO 64118-4362
Phone (816) 413-4504

National Provider Directory

National Provider Directory

Locations

477 E Butterfield Rd
Ste 101
Lombard, IL 60148
Phone (630) 493-4900

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210896000000",
    "number": "1386801439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 NE 54TH ST",
            "address_2": "STE. 200",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641184362",
            "telephone_number": "816-413-4504",
            "fax_number": "816-413-4568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 E BUTTERFIELD RD",
            "address_2": "STE. 101",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601485618",
            "telephone_number": "630-493-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASIK-1 OF CHICAGO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A",
        "authorized_official_last_name": "WILES",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "816-455-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lombard, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.