Geriatric Vision Care LLC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036062589 Issued in IL

Legal business name

GERIATRIC VISION CARE LLC

Practice address

828 North Cass Ave
Suite 1B
Westmont, IL 60559

Phone

(312) 829-0956

Fax

(773) 904-7855

NPI assigned

Oct 26, 2006

Organization subpart

No

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

Authorized official

Name

James Noth

Title

Secretary Treasurer

Phone

(630) 655-0499

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 8

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

• Stephanie Corbin, OD

  • Optometrist
  • Chicago, IL
  • NPI 1124545603
  Medicare reassignment NPD
• Anna S Wang, O.D.

  • Optometrist
  • Westmont, IL
  • NPI 1740632454
  Medicare reassignment NPD
• Susan Bobko, O.D.

  • Optometrist
  • Tinley Park, IL
  • NPI 1902091952
  NPD (past)
• Paul A Foreman, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1356310841
  NPD (past)
• Jennifer Marie Jacobs, O.D.

  • Optometrist
  • Minooka, IL
  • NPI 1366554826
  NPD (past)
• Askia Z Saunders, O.D.

  • Optometrist
  • Streamwood, IL
  • NPI 1396095659
  NPD (past)
• Roger D Roberts, O.D.

  • Optometrist
  • Fayetteville, AR
  • NPI 1003885138
  NPD (past)
• Phdra N Shaba, O.D.

  • Optometrist
  • Scottsdale, AZ
  • NPI 1689803926
  NPD (past)

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256256000000",
    "number": "1497830673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 NORTH CASS AVENUE",
            "address_2": "SUITE 1B",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "312-829-0956",
            "fax_number": "773-904-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 NORTH CASS AVE",
            "address_2": "SUITE 1B",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "312-829-0956",
            "fax_number": "773-904-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GERIATRIC VISION CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2009-10-23",
        "status": "A",
        "authorized_official_last_name": "NOTH",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "SECRETARY TREASURER",
        "authorized_official_telephone_number": "630-655-0499"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009531",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036062589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS PA #",
            "identifier": "046009531",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS PA #",
            "identifier": "036062589",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany Gebben, PHARMD
• Jessica Genslinger, PA-C
• Marc Genson, LCPC
• Matthew Georges
• Geriatric Care Associates
• Emily Christine Gibson, MA, LCPC, NCC
• Debra Susan Gill, FNP
• Debra E. Gillespie, RN
• Alexandra Gilroy
• Eyal Ginesin, SA

• Ophthalmology Physician in Westmont, IL
• Providers in Westmont, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.