Chicago Lasik Center, LLC

Primary specialty

Ophthalmologic Surgery Clinic/CenterTaxonomy code 261QS0132X

Legal business name

CHICAGO LASIK CENTER, LLC

Practice address

405 N Wabash Ave Ste P-2E
Chicago, IL 60611-3591

Phone

(708) 536-8078

NPI assigned

Sep 13, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Stephan McGlothan, MDNPI 1154374973

Title

Managing Member/Medical Director

Phone

(317) 267-9014

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan S McGlothan, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1154374973
  NPD (past) Authorized official

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

{
    "created_epoch": "1536796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560384000000",
    "number": "1477036671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE STE P2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113591",
            "telephone_number": "312-955-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N WABASH AVE STE P-2E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113591",
            "telephone_number": "708-536-8078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO LASIK CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-13",
        "last_updated": "2019-06-13",
        "status": "A",
        "authorized_official_last_name": "MCGLOTHAN",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "STEPHAN",
        "authorized_official_title_or_position": "MANAGING MEMBER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "317-267-9014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmologic Surgery Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmologic Surgery Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.