Organization Active NPI

The Laser Network, LLC

  • Optometrist
  • Deerfield, IL
National Provider Identifier
1447387063
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE LASER NETWORK, LLC
Practice address
1224 Greenwood Ave
Deerfield, IL 60015-2807
Phone
(847) 948-5664
Fax
(847) 948-7304
NPI assigned
Feb 28, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Jayne D Kulhanek, MHSA
Title
Vice President
Phone
(847) 948-5664

Specialties & licenses 1

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

Addresses

Primary practice location

1224 Greenwood Ave
Deerfield, IL 60015-2807

Mailing address

1224 Greenwood Ave
Deerfield, IL 60015-2807
Phone (847) 948-5664

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1447387063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1224 GREENWOOD AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152807",
            "telephone_number": "847-948-5664",
            "fax_number": "847-948-7304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 GREENWOOD AVE",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600152807",
            "telephone_number": "847-948-5664",
            "fax_number": "847-948-7304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASER NETWORK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KULHANEK",
        "authorized_official_first_name": "JAYNE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "847-948-5664",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MHSA"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.