Lavender Streiff PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009684 Issued in IL

Legal business name

LAVENDER STREIFF PC

Doing business as

Bensenville Eye Care

Practice address

117 W Main St
Bensenville, IL 60106-2133

Phone

(630) 860-5066

NPI assigned

Sep 25, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Lavender Streiff, O.D.NPI 1467432336

Title

President/Vice President/Secretary

Phone

(847) 254-9665

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Bensenville Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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

• Lavender Summer Streiff, OD

  • Optometrist
  • Marshfield, WI
  • NPI 1467432336

  IL

  Medicare reassignment Care Compare group NPD Authorized official
• Gretchen Lynn Maynard, O.D.

  • Optometrist
  • Bensenville, IL
  • NPI 1194105635
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1190678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240444800000",
    "number": "1518154350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062133",
            "telephone_number": "630-860-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W MAIN ST",
            "city": "BENSENVILLE",
            "state": "IL",
            "postal_code": "601062133",
            "telephone_number": "630-860-5066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVENDER STREIFF PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-25",
        "last_updated": "2009-04-23",
        "status": "A",
        "authorized_official_last_name": "STREIFF",
        "authorized_official_first_name": "LAVENDER",
        "authorized_official_title_or_position": "PRESIDENT/VICE PRESIDENT/SECRETARY",
        "authorized_official_telephone_number": "847-254-9665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009684",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DN7492",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1634550",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009684",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bensenville Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Melody Kraft
• Nancy Catherine Kray, MOT, OTR/L
• Aliia Kyiashbaeva
• La Raza Medical Center
• Donald Lamb
• Mariel Layno
• Hyung Lee
• Jadwiga A Leja, PHARM D.
• Rachel Marie Lennon, DPT
• Michelle Lichterman

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

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