Organization Active NPI

Kresca Eye Clinic,LTD

  • Ophthalmology Physician
  • Roselle, IL
National Provider Identifier
1538200597
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
KRESCA EYE CLINIC,LTD
Practice address
975 E Nerge Rd
Suite N110
Roselle, IL 60172-4804
Phone
(630) 893-8980
NPI assigned
Feb 10, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Linda Jean Kresca, M.D.NPI 1568552883
Title
Secretary
Phone
(630) 893-8980

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
Ophthalmology Physician 207W00000X IL Primary

Addresses

Primary practice location

975 E Nerge Rd
Suite N110
Roselle, IL 60172-4804

Mailing address

975 E Nerge Rd
Suite N110
Roselle, IL 60172-4804
Phone (630) 893-8980

National Provider Directory

National Provider Directory

Locations

2011 Round Barn Rd
Champaign, IL 61821
Phone (217) 356-2557

975 E Nerge Rd
Ste 110
Roselle, IL 60172
Phone (224) 723-2165

975 E Nerge Rd
Ste N110
Roselle, IL 60172
Phone (630) 893-8980

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1538200597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD",
            "address_2": "SUITE N110",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724804",
            "telephone_number": "630-893-8980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 E NERGE RD",
            "address_2": "SUITE N110",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724804",
            "telephone_number": "630-893-8980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KRESCA EYE CLINIC,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KRESCA",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "630-893-8980",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.