Complete Vision Care PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008858 Issued in IL

Legal business name

COMPLETE VISION CARE PC

Practice address

6209 W 95TH St
Oak Lawn, IL 60453-2701

Phone

(708) 423-2845

NPI assigned

Jun 18, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Sandra L Bury, ODNPI 1356524888

Title

Owner

Phone

(708) 423-2500

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra L. Bury, O.D.

  • Optometrist
  • Oak Lawn, IL
  • NPI 1356524888
  Medicare reassignment Care Compare group NPD Authorized official
• Holly Le, OD

  • Optometrist
  • Oak Lawn, IL
  • NPI 1871018036
  Medicare reassignment Care Compare group NPD
• Mohammad Salem, OD

  • Optometrist
  • Oak Lawn, IL
  • NPI 1467004358
  Medicare reassignment Care Compare group NPD
• Haley Ann Mascitti, O.D.

  • Optometrist
  • Palos Heights, IL
  • NPI 1225393507
  Medicare reassignment NPD

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1578508263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6209 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-423-2845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6209 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-423-2845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE VISION CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-18",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "BURY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-423-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.