Organization Active NPI

Family Eyecare of Lockport Inc.

  • Optometrist
  • Lockport, IL
National Provider Identifier
1407016744
Registry record updated Jan 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008469 Issued in IL
Legal business name
FAMILY EYECARE OF LOCKPORT INC.
Practice address
16612 W 159TH St
Suite 200
Lockport, IL 60441-8006
Phone
(815) 836-3937
Fax
(815) 836-3930
NPI assigned
Jun 10, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2011

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

Authorized official

Name
Dr. John Michael Fron, O.D.NPI 1891839296
Title
Owner
Phone
(815) 836-3937

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 MULTIPLE SINGLE SPECIALTY GROUP 152W00000X 046008469 IL Primary

Addresses

Primary practice location

16612 W 159TH St
Suite 200
Lockport, IL 60441-8006

Mailing address

16612 W 159TH St
Suite 200
Lockport, IL 60441-8006
Phone (815) 836-3937

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080812000409 IL Part B Supplier - Clinic/Group Practice 0840365755 Receives reassigned benefits from 2 practitioners
Practice locations: Lockport, IL

National Provider Directory

National Provider Directory

Locations

16612 W 159th St
Ste 200
Lockport, IL 60441
Phone (815) 836-3937

Practitioners & affiliated clinicians

Practitioners 2

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": "1213056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1407016744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16612 W 159TH ST",
            "address_2": "SUITE 200",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418006",
            "telephone_number": "815-836-3937",
            "fax_number": "815-836-3930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16612 W 159TH ST",
            "address_2": "SUITE 200",
            "city": "LOCKPORT",
            "state": "IL",
            "postal_code": "604418006",
            "telephone_number": "815-836-3937",
            "fax_number": "815-836-3930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE OF LOCKPORT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-10",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "FRON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-836-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lockport, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.