Organization Active NPI

Insight Family Vision Care,Inc.

  • Optometrist
  • Tinley Park, IL
National Provider Identifier
1457547648
Registry record updated Jul 8, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008527 Issued in IL
Legal business name
INSIGHT FAMILY VISION CARE,INC.
Practice address
9501 171St St
Suite C
Tinley Park, IL 60487-6110
Phone
(708) 403-8300
Fax
(708) 403-8333
NPI assigned
Sep 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2014

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

Authorized official

Name
Mark Alles, ODNPI 1366535528
Title
Ceo President
Phone
(708) 403-8300

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
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 046008527 IL Primary

Addresses

Primary practice location

9501 171St St
Suite C
Tinley Park, IL 60487-6110

Mailing address

9501 171St St
Suite C
Tinley Park, IL 60487-6110
Phone (708) 403-8300

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080107000454 IL Part B Supplier - Clinic/Group Practice 5597845305 Receives reassigned benefits from 2 practitioners
Practice locations: Tinley Park, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2336171Insight Family Vision Care9501 W 171St St - Ste C, Tinley Park, IL 60487Certificate of waiverDec 23, 2027

National Provider Directory

National Provider Directory

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": "1190246400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404777600000",
    "number": "1457547648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9501 171ST ST",
            "address_2": "SUITE C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876110",
            "telephone_number": "708-403-8300",
            "fax_number": "708-403-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9501 171ST ST",
            "address_2": "SUITE C",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604876110",
            "telephone_number": "708-403-8300",
            "fax_number": "708-403-8333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT FAMILY VISION CARE,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-20",
        "last_updated": "2014-07-08",
        "status": "A",
        "authorized_official_last_name": "ALLES",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "708-403-8300",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.