Organization Active NPI

Leon J. Kosek, O.D.

  • Optometrist
  • Frankfort, IL
National Provider Identifier
1407975782
Registry record updated Dec 31, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007472 Issued in IL
Legal business name
LEON J. KOSEK, O.D.
Practice address
600 Bankview Dr
Frankfort, IL 60423-1489
Phone
(815) 469-8541
Fax
(815) 469-8126
NPI assigned
Mar 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2009

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

Authorized official

Name
Dr. Leon J Kosek Jr., O.D.
Title
Owner
Phone
(815) 469-8541

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046007472 IL Primary

Addresses

Primary practice location

600 Bankview Dr
Frankfort, IL 60423-1489

Mailing address

600 Bankview Dr
Frankfort, IL 60423-1489
Phone (815) 469-8541

Other identifiers 1

IdentifierTypeStateIssuer
09922174OtherILBLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

600 Bankview Dr
Frankfort, IL 60423
Phone (815) 469-8541

Practitioners & affiliated clinicians

Practitioners 3

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": "1175040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1262217600000",
    "number": "1407975782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 BANKVIEW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231489",
            "telephone_number": "815-469-8541",
            "fax_number": "815-469-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 BANKVIEW DR",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231489",
            "telephone_number": "815-469-8541",
            "fax_number": "815-469-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEON J. KOSEK, O.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-28",
        "last_updated": "2009-12-31",
        "status": "A",
        "authorized_official_last_name": "KOSEK",
        "authorized_official_first_name": "LEON",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-469-8541",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "09922174",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2009; 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.