Awad Eyecare SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010716 Issued in IL

Legal business name

AWAD EYECARE SC

Practice address

1845 S Michigan Ave Unit 1803
Chicago, IL 60616

Phone

(773) 988-7077

NPI assigned

May 30, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Abdelhafeth Awad, ODNPI 1306270061

Title

Owner Optometrist

Phone

(773) 988-7077

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 1

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

• Abdelhafeth Awad, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1306270061
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608681600000",
    "number": "1508394933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22955 FOLKESTONE WAY",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604231703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1845 S MICHIGAN AVE UNIT 1803",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60616",
            "telephone_number": "773-988-7077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "505 Riverstone Pkwy",
            "address_purpose": "LOCATION",
            "city": "Kankakee",
            "state": "IL",
            "postal_code": "609017207",
            "country_code": "US",
            "telephone_number": "815-214-2133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1300 Des Plaines Ave",
            "address_purpose": "LOCATION",
            "city": "Forest Park",
            "state": "IL",
            "postal_code": "601302507",
            "country_code": "US",
            "telephone_number": "708-488-0383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4650 W North Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606394611",
            "country_code": "US",
            "telephone_number": "773-252-7465",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AWAD EYECARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A",
        "authorized_official_last_name": "AWAD",
        "authorized_official_first_name": "ABDELHAFETH",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "773-988-7077",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010716",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "046010716",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010716",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1306270061",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brinda Avutapalli
• Aw Physical Rehab, LTD.
• Aw Therapy Services, Inc
• Jessie Aw-Zoretic, M.D.
• Helen Aw, LPC
• Abdelhafeth Awad, O.D.
• Issam Awad
• Magdy K Awad, MD
• Maria Awad
• Matthew Awad, MD

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.