Organization Active NPI

Des Plaines Eye Physicians & Surgeons, LTD.

  • Medical Specialty Clinic/Center
  • Des Plaines, IL
National Provider Identifier
1467593004
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
036-066311 Issued in IL
Legal business name
DES PLAINES EYE PHYSICIANS & SURGEONS, LTD.
Practice address
940 Lee St
Des Plaines, IL 60016-6555
Phone
(847) 299-5501
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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

Authorized official

Name
John W Winkler, M.D.NPI 1659314375
Title
Physician
Phone
(847) 299-5501

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
Medical Specialty Clinic/Center 261QM2500X 036-066311 IL Primary

Addresses

Primary practice location

940 Lee St
Des Plaines, IL 60016-6555

Mailing address

940 Lee St
Des Plaines, IL 60016-6555
Phone (847) 299-5501

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080514000728 IL Part B Supplier - Clinic/Group Practice 7810923398 Receives reassigned benefits from 4 practitioners
Practice locations: Des Plaines, IL

National Provider Directory

National Provider Directory

Locations

940 Lee St
Des Plaines, IL 60016
Phone (847) 299-5501

1710 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (847) 888-0111

3150 W Higgins Rd
Hoffman Estates, IL 60169
Phone (847) 310-0074

Practitioners & affiliated clinicians

Practitioners 7

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223337600000",
    "number": "1467593004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "940 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166555",
            "telephone_number": "847-299-5501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 LEE ST",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166555",
            "telephone_number": "847-299-5501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DES PLAINES EYE PHYSICIANS & SURGEONS, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-10-07",
        "status": "A",
        "authorized_official_last_name": "WINKLER",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-299-5501",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "036-066311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; 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.