NPIMap

Organization Active NPI

Zeifert Eye Care, LTD

  • Optometrist
  • Highland Park, IL
National Provider Identifier
1437513041
Registry record updated Aug 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010328 Issued in IL
Legal business name
ZEIFERT EYE CARE, LTD
Practice address
1849 Green Bay Rd
Suite 165
Highland Park, IL 60035-3151
Phone
(224) 252-0204
NPI assigned
Apr 9, 2016
Last updated
Aug 2, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2016

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

Authorized official

Name
Dr. Christine Martinson Zeifert, ODNPI 1467766436
Title
President
Phone
(224) 252-0204

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
Optometrist 152W00000X 046010328 IL Primary

Addresses

Primary practice location

1849 Green Bay Rd
Suite 165
Highland Park, IL 60035-3151

Mailing address

1849 Green Bay Rd
Suite 165
Highland Park, IL 60035-3151
Phone (224) 252-0204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160503000403 IL Part B Supplier - Clinic/Group Practice 1456650092 Receives reassigned benefits from 5 practitioners
Practice locations: Highland Park, IL

National Provider Directory

National Provider Directory

Locations

1849 Green Bay Rd
Ste 165
Highland Park, IL 60035
Phone (847) 533-5170

Practitioners & affiliated clinicians

Practitioners 7

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": "1460160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470096000000",
    "number": "1437513041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1849 GREEN BAY RD",
            "address_2": "SUITE 165",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353151",
            "telephone_number": "224-252-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1849 GREEN BAY RD",
            "address_2": "SUITE 165",
            "city": "HIGHLAND PARK",
            "state": "IL",
            "postal_code": "600353151",
            "telephone_number": "224-252-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZEIFERT EYE CARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-09",
        "last_updated": "2016-08-02",
        "status": "A",
        "authorized_official_last_name": "ZEIFERT",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARTINSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-252-0204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; 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.