Organization Active NPI

Vision Source, P.C.

  • Optometrist
  • Orland Park, IL
National Provider Identifier
1518151828
Registry record updated Feb 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007540 Issued in IL
Legal business name
VISION SOURCE, P.C.
Practice address
9031 W 151St St
Orland Park, IL 60462-6540
Phone
(708) 460-2010
NPI assigned
Aug 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2024

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

Authorized official

Name
Dr. Joseph S. Digiorgio, O.D.NPI 1447305859
Title
President
Phone
(708) 460-2010

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046007540 IL Primary

Addresses

Primary practice location

9031 W 151St St
Orland Park, IL 60462-6540

Mailing address

9031 W 151St St
Orland Park, IL 60462-6540
Phone (708) 460-2010

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050519000797 IL Part B Supplier - Clinic/Group Practice 7113968199 Receives reassigned benefits from 2 practitioners
Practice locations: Orland Park, IL

National Provider Directory

National Provider Directory

Locations

9031 W 151st St
Ste 101
Orland Park, IL 60462
Phone (708) 460-2010

9031 W 151st St
Orland Park, IL 60462
Phone (331) 244-5276

Practitioners & affiliated clinicians

Practitioners 6

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": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707350400000",
    "number": "1518151828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9031 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626540",
            "telephone_number": "708-460-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9031 W 151ST ST",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604626540",
            "telephone_number": "708-460-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2024-02-08",
        "certification_date": "2024-02-08",
        "status": "A",
        "authorized_official_last_name": "DIGIORGIO",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-460-2010",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orland Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2024; 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.