Organization Active NPI

John C Engstrom, OD, LTD

  • Optometrist
  • Rolling Meadows, IL
National Provider Identifier
1427063874
Registry record updated Jun 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
JOHN C ENGSTROM, OD, LTD
Practice address
3487 Kirchoff Rd
Rolling Meadows, IL 60008-1842
Phone
(847) 255-6075
Fax
(847) 255-0880
NPI assigned
Jul 31, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2008

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

Authorized official

Name
Dr. John C Engstrom, O.D.
Title
President/Secretary
Phone
(847) 255-6075

Specialties & licenses 1

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

Addresses

Primary practice location

3487 Kirchoff Rd
Rolling Meadows, IL 60008-1842

Mailing address

3487 Kirchoff Rd
Rolling Meadows, IL 60008-1842
Phone (847) 255-6075

National Provider Directory

National Provider Directory

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": "1154304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212451200000",
    "number": "1427063874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3487 KIRCHOFF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081842",
            "telephone_number": "847-255-6075",
            "fax_number": "847-255-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3487 KIRCHOFF RD",
            "city": "ROLLING MEADOWS",
            "state": "IL",
            "postal_code": "600081842",
            "telephone_number": "847-255-6075",
            "fax_number": "847-255-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN C ENGSTROM, OD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-31",
        "last_updated": "2008-06-03",
        "status": "A",
        "authorized_official_last_name": "ENGSTROM",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "847-255-6075",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rolling Meadows, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2008; 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.