Active NPI
Carr Eye Professionals PC
Doing business as Midwest Eye Professionals
- Optometrist
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 060-007090
- Legal business name
- CARR EYE PROFESSIONALS PC
- Doing business as
- Midwest Eye Professionals
- Practice address
- 9661 W 143Rd St Ste 202
Orland Park, IL 60462-2088 - Phone
- (708) 361-6141
- Fax
- (708) 361-5327
- NPI assigned
- Apr 3, 2007
- Last updated
- Aug 19, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ronald Carr, O.D.
- Title
- President
- Phone
- (708) 361-6141
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 060-007090 | IL | Primary |
| Optometrist | 152W00000X | |||
| Ophthalmology Physician | 207W00000X |
Addresses
Primary practice location
9661 W 143Rd St Ste 202
Orland Park, IL 60462-2088
Mailing address
9661 W 143Rd St Ste 202
Orland Park, IL 60462-2088
Phone (708) 361-6141
Other names 1
- MIDWEST EYE PROFESSIONALS
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040303000889 | IL | Part B Supplier - Clinic/Group Practice | 4981591963 |
Receives reassigned benefits from 4 practitioners 2 other NPIs on this enrollment Practice locations: Orland Park, IL |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Palos Eye Professionals
- Optometrist
- Palos Heights, IL
- NPI 1568811248
O20040303000889
-
dba Orland Eye Professionals
- Optometrist
- Orland Park, IL
- NPI 1407978687
O20040303000889
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2051169 | Midwest Eye Professionals | Certificate of waiver | Dec 12, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Midwest Eye Physicians
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Mt. Greenwood Eye Professionals
- Optometrist
- Chicago, IL
- NPI 1851899082
Locations
9661 W 143rd St
Orland Park, IL 60462
Phone (708) 460-0931
9661 W 143rd St
Ste 202
Orland Park, IL 60462
Phone (708) 361-6141
Interoperability endpoints
- agrider@mep.intellechartdirect.net
- kscarpulla@mep.intellechartdirect.net
- rcarr@mep.intellechartdirect.net
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Orland Park, IL
- NPI 1700803269
-
- Ophthalmology Physician
- Chicago, IL
- NPI 1790886851
-
- Ophthalmology Physician
- Highland Park, IL
- NPI 1912988981
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1660867200000",
"number": "1396866323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9661 W 143RD ST STE 202",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622088",
"telephone_number": "708-361-6141",
"fax_number": "708-361-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9661 W 143RD ST STE 202",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604622088",
"telephone_number": "708-361-6141",
"fax_number": "708-361-5327"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARR EYE PROFESSIONALS PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-04-03",
"last_updated": "2022-08-19",
"certification_date": "2021-05-17",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "RONALD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-361-6141",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "060-007090",
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MIDWEST EYE PROFESSIONALS",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MIDWEST EYE PROFESSIONALS",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.