Organization Active NPI

Whispering Point Ophthalmology SC

  • Specialist
  • McHenry, IL
National Provider Identifier
1538369574
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
WHISPERING POINT OPHTHALMOLOGY SC
Practice address
4314 W Crystal Lake Rd Ste B
McHenry, IL 60050-4281
Phone
(815) 363-8866
Fax
(815) 363-8893
NPI assigned
Jul 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Kim Zawacki
Title
Office Manager
Phone
(815) 363-8866

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 036097592 IL
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 0 IL Primary

Addresses

Primary practice location

4314 W Crystal Lake Rd Ste B
McHenry, IL 60050-4281

Mailing address

4314 W Crystal Lake Rd Ste B
McHenry, IL 60050-4281
Phone (815) 363-8866

Other identifiers 4

IdentifierTypeStateIssuer
05600304OtherILBLUE CROSS BLUE SHEILD PI
0360825434MedicaidIL
4558723OtherILAETNA PIN
604367OtherILUNITED HEALTH CARE PIN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000434 IL Part B Supplier - Clinic/Group Practice 6800864745 Receives reassigned benefits from 2 practitioners
Practice locations: McHenry, IL; Woodstock, IL; Algonquin, IL

National Provider Directory

National Provider Directory

Locations

490 Coventry Ln
Ste 201
Crystal Lake, IL 60014
Phone (815) 455-5034

4314 W Crystal Lake Rd
Ste B
McHenry, IL 60050
Phone (815) 363-8866

Practitioners & affiliated clinicians

Practitioners 4

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": "1184716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1538369574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4314 W CRYSTAL LAKE RD STE B",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504281",
            "telephone_number": "815-363-8866",
            "fax_number": "815-363-8893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4314 W CRYSTAL LAKE RD STE B",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600504281",
            "telephone_number": "815-363-8866",
            "fax_number": "815-363-8893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHISPERING POINT OPHTHALMOLOGY SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-18",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "ZAWACKI",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "815-363-8866",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036097592",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHEILD PI",
            "identifier": "05600304",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0360825434",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PIN",
            "identifier": "4558723",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE PIN",
            "identifier": "604367",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.