Edgebrook Vision Center LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EDGEBROOK VISION CENTER LLC

Practice address

5315 W Devon Ave
Chicago, IL 60646-4107

Phone

(773) 775-6555

Fax

(773) 775-3350

NPI assigned

Jul 24, 2013

Last updated

Jul 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rosemary Theresa Kafka

Title

President

Phone

(773) 550-9667

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Ameera Sulakhe, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1619330263
  NPD (past)
• Christine Kafka Vicere, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1891900668
  NPD (past)

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

{
    "created_epoch": "1374624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374624000000",
    "number": "1477995074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5315 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464107",
            "telephone_number": "773-775-6555",
            "fax_number": "773-775-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5315 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464107",
            "telephone_number": "773-775-6555",
            "fax_number": "773-775-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDGEBROOK VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-24",
        "last_updated": "2013-07-24",
        "status": "A",
        "authorized_official_last_name": "KAFKA",
        "authorized_official_first_name": "ROSEMARY",
        "authorized_official_middle_name": "THERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-550-9667",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Edgar, MD
• Alissa Ann Edge, MA, LCPC
• Edgebrook Chiropractic Health Center
• Edgebrook Foot & Ankle Clinic, Inc
• Edgebrook Open MRI Inc
• Robert Reynolds Edger, MD
• Cole Dreskin Edgerton
• Edgewater Beach Foot and Ankle Center, P.C.
• Edgewater Chiropractic LLC
• Edgewater Rehabilitation Center

• Eyewear Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; 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.