Organization Active NPI

Forsight Vision, LTD

  • Optometrist
  • Long Grove, IL
National Provider Identifier
1386816320
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009356 Issued in IL
Legal business name
FORSIGHT VISION, LTD
Practice address
4160 Il Route 83
Suite 107
Long Grove, IL 60047-5083
Phone
(847) 955-9393
NPI assigned
Mar 31, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dr. Todd Cohan, O.D.NPI 1841244878
Title
President
Phone
(847) 955-9393

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 046009356 IL Primary

Addresses

Primary practice location

4160 Il Route 83
Suite 107
Long Grove, IL 60047-5083

Mailing address

4160 Il Route 83
Suite 107
Long Grove, IL 60047-5083

Other practice location 1

1545 Waukegan Rd
Glenview, IL 60025-2166
Phone (847) 998-6700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080419000023 IL Part B Supplier - Clinic/Group Practice 6709964513 Receives reassigned benefits from 5 practitioners
Practice locations: Glenview, IL; Long Grove, IL; Northfield, 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
14D1096749Forsight Vision LTD4160 Il Rte 83, Suite 107, Long Grove, IL 60047Certificate of waiverMar 10, 2027

National Provider Directory

National Provider Directory

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": "1206921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1386816320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83",
            "address_2": "SUITE 107",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 IL ROUTE 83",
            "address_2": "SUITE 107",
            "city": "LONG GROVE",
            "state": "IL",
            "postal_code": "600475083",
            "telephone_number": "847-955-9393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1545 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600252166",
            "country_code": "US",
            "telephone_number": "847-998-6700",
            "fax_number": "847-998-1566",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FORSIGHT VISION, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-31",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "COHAN",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-955-9393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.