Active NPI
Rosley Eyecare and Associates LLC
- Optometrist
- Glenview, IL
National Provider Identifier
1578238978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- ROSLEY EYECARE AND ASSOCIATES LLC
- Practice address
- 2300 Lehigh Ave Ste 100
Glenview, IL 60026-1692 - Phone
- (224) 432-5147
- Fax
- (224) 432-5167
- NPI assigned
- Aug 9, 2021
- Last updated
- Jan 31, 2022
- 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. Magdalena Lucia Bak, OD
- Title
- Optometrist/Partner
- Phone
- (773) 343-0212
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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary | ||
| Corneal and Contact Management Optometrist | 152WC0802X | |||
| Pediatric Optometrist | 152WP0200X | |||
| Vision Therapy Optometrist | 152WV0400X |
Addresses
Primary practice location
2300 Lehigh Ave Ste 100
Glenview, IL 60026-1692
Mailing address
2300 Lehigh Ave Ste 100
Glenview, IL 60026-1692
Phone (224) 432-5147
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2300 Lehigh Ave
Ste 100
Glenview, IL 60026
Phone (224) 432-5147
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.
-
- Optometrist
- Downers Grove, IL
- NPI 1184938227
-
- Optometrist
- Chicago, IL
- NPI 1629508429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628467200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1643587200000",
"number": "1578238978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 LEHIGH AVE STE 100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261692",
"telephone_number": "224-432-5147",
"fax_number": "224-432-5167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 LEHIGH AVE STE 100",
"city": "GLENVIEW",
"state": "IL",
"postal_code": "600261692",
"telephone_number": "224-432-5147",
"fax_number": "224-432-5167"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSLEY EYECARE AND ASSOCIATES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-08-09",
"last_updated": "2022-01-31",
"certification_date": "2022-01-31",
"status": "A",
"authorized_official_last_name": "BAK",
"authorized_official_first_name": "MAGDALENA",
"authorized_official_middle_name": "LUCIA",
"authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
"authorized_official_telephone_number": "773-343-0212",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WP0200X",
"taxonomy_group": "",
"desc": "Optometrist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "",
"desc": "Optometrist, Vision Therapy",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glenview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.