Organization Active NPI

Westchester Eye Surgeons, S.C.

  • Ophthalmology Physician
  • Westchester, IL
National Provider Identifier
1568656650
Registry record updated Feb 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
WESTCHESTER EYE SURGEONS, S.C.
Practice address
10439 W Cermak Rd
Westchester, IL 60154-5237
Phone
(708) 531-1030
Fax
(708) 531-1078
NPI assigned
Aug 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2020

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

Authorized official

Name
Dr. Spero Kinnas, M.D.NPI 1386616985
Title
Chief Operating Officer
Phone
(708) 531-1030

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 PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10439 W Cermak Rd
Westchester, IL 60154-5237

Mailing address

10439 W Cermak Rd
Westchester, IL 60154-5237
Phone (708) 531-1030

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090814000361 IL Part B Supplier - Clinic/Group Practice 5799839403 Receives reassigned benefits from 2 practitioners
Practice locations: Westchester, IL

National Provider Directory

National Provider Directory

Locations

10439 W Cermak Rd
Westchester, IL 60154
Phone (708) 531-1030

Interoperability endpoints

  • Direct secure messaging: skinnas@welc.intellechartdirect.net
  • Direct secure messaging: asiavelis@welc.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 2

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": "1188518400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1568656650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10439 W CERMAK RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545237",
            "telephone_number": "708-531-1030",
            "fax_number": "708-531-1078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10439 W CERMAK RD",
            "city": "WESTCHESTER",
            "state": "IL",
            "postal_code": "601545237",
            "telephone_number": "708-531-1030",
            "fax_number": "708-531-1078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTCHESTER EYE SURGEONS, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-31",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "KINNAS",
        "authorized_official_first_name": "SPERO",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "708-531-1030",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westchester, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.