Active NPI
Serpico Family Eye Care, Inc.
- Optometrist
- Vernon Hills, IL
National Provider Identifier
1528559846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009099
- Legal business name
- SERPICO FAMILY EYE CARE, INC.
- Practice address
- 6 E Phillip Rd Ste 1110
Vernon Hills, IL 60061-1700 - Phone
- (847) 816-9996
- Fax
- (847) 816-3142
- NPI assigned
- May 22, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony A Serpico, OD
- Title
- Optometrist and Owner
- Phone
- (847) 924-6452
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009099 | IL | Primary |
Addresses
Primary practice location
6 E Phillip Rd Ste 1110
Vernon Hills, IL 60061-1700
Mailing address
6 E Phillip Rd Ste 1110
Vernon Hills, IL 60061-1700
Phone (847) 816-9996
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
6 E Phillip Rd
Ste 1100
Vernon Hills, IL 60061
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Vernon Hills, IL
- NPI 1083741979
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1526947200000",
"number": "1528559846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 E PHILLIP RD STE 1110",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611700",
"telephone_number": "847-816-9996",
"fax_number": "847-816-3142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 E PHILLIP RD STE 1110",
"city": "VERNON HILLS",
"state": "IL",
"postal_code": "600611700",
"telephone_number": "847-816-9996",
"fax_number": "847-816-3142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERPICO FAMILY EYE CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A",
"authorized_official_last_name": "SERPICO",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OPTOMETRIST AND OWNER",
"authorized_official_telephone_number": "847-924-6452",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046-009099",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Vernon Hills, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.