NPIMap

Organization Active NPI

Medical Eye Services, LTD

  • Ophthalmology Physician
  • Gurnee, IL
National Provider Identifier
1396749008
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MEDICAL EYE SERVICES, LTD
Practice address
48 S Greenleaf St
Gurnee, IL 60031-3300
Phone
(847) 662-4016
Fax
(847) 662-4174
NPI assigned
Jun 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Sylvia M Hoskins
Title
Insurance Coordinator
Phone
(847) 662-4016

Specialties & licenses 1

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

Addresses

Primary practice location

48 S Greenleaf St
Gurnee, IL 60031-3300

Mailing address

48 S Greenleaf St
Gurnee, IL 60031-3300
Phone (847) 662-4016

Other identifiers 1

IdentifierTypeStateIssuer
4915051OtherILBLUE CROSS BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20060814000272 IL Part B Supplier - Clinic/Group Practice 2567465511 Receives reassigned benefits from 5 practitioners
Practice locations: Gurnee, IL; Lake Forest, IL
O20100930088562 IL DME Supplier - Physician - Ophthalmology 2567465511 Practice locations: Gurnee, IL

National Provider Directory

National Provider Directory

Locations

900 N Westmoreland Rd
Ste LL74
Lake Forest, IL 60045
Phone 84766240161258

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": "1118275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1396749008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313300",
            "telephone_number": "847-662-4016",
            "fax_number": "847-662-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 S GREENLEAF ST",
            "city": "GURNEE",
            "state": "IL",
            "postal_code": "600313300",
            "telephone_number": "847-662-4016",
            "fax_number": "847-662-4174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL EYE SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-09",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HOSKINS",
        "authorized_official_first_name": "SYLVIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "847-662-4016",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "4915051",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gurnee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.