Organization Active NPI

West Suburban Vision Therapy Center PC

  • Vision Therapy Optometrist
  • Oak Brook, IL
National Provider Identifier
1427771823
Registry record updated Jan 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
Legal business name
WEST SUBURBAN VISION THERAPY CENTER PC
Practice address
1000 Jorie Blvd Ste 250
Oak Brook, IL 60523-2233
Phone
(630) 491-4941
Fax
(630) 491-8617
NPI assigned
Sep 21, 2022
Last updated
Jan 30, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2026

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

Authorized official

Name
Alicia X Wong, ODNPI 1326525486
Title
Owning Optometrist
Phone
(630) 491-4941

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X
Pediatric Optometrist 152WP0200X
Sports Vision Optometrist 152WS0006X
Vision Therapy Optometrist 152WV0400X Primary

Addresses

Primary practice location

1000 Jorie Blvd Ste 250
Oak Brook, IL 60523-2233

Mailing address

1000 Jorie Blvd Ste 250
Oak Brook, IL 60523-2233
Phone (630) 491-4941

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230105002462 IL Part B Supplier - Clinic/Group Practice 5698145753 Receives reassigned benefits from 1 practitioner
Practice locations: Oak Brook, IL

National Provider Directory

National Provider Directory

Locations

1000 Jorie Blvd
Ste 250
Oak Brook, IL 60523
Phone (630) 491-4941

801 N Cass Ave
Ste 203
Westmont, IL 60559
Phone (630) 491-4941

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1663718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769731200000",
    "number": "1427771823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 250",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232233",
            "telephone_number": "630-491-4941",
            "fax_number": "630-491-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 JORIE BLVD STE 250",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605232233",
            "telephone_number": "630-491-4941",
            "fax_number": "630-491-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN VISION THERAPY CENTER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-21",
        "last_updated": "2026-01-30",
        "certification_date": "2026-01-30",
        "status": "A",
        "authorized_official_last_name": "WONG",
        "authorized_official_first_name": "ALICIA",
        "authorized_official_middle_name": "X",
        "authorized_official_title_or_position": "OWNING OPTOMETRIST",
        "authorized_official_telephone_number": "630-491-4941",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.