North Shore Eye Center, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

NORTH SHORE EYE CENTER, INC.

Practice address

2914 Central St
Evanston, IL 60201

Phone

(847) 864-4768

NPI assigned

Nov 16, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Millicent L Knight, OD

Title

President Ceo

Phone

(847) 864-4768

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1578636825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2914 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602011237",
            "telephone_number": "847-864-4768",
            "fax_number": "847-864-4795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2914 CENTRAL ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-864-4768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE EYE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "KNIGHT",
        "authorized_official_first_name": "MILLICENT",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "847-864-4768",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01635011",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Nora, MS, MA, LPC, LCPC
• North Shore Associates in Gynecology and Obstetrics, S.C.
• North Shore Consultants in Nephrology & Hypertension, SC
• North Shore Dental Associates
• North Shore Dentistry for Children
• North Shore Infusion LTD
• North Shore Pathology Consultants, S.C.
• North Shore Physicians Group, LLC
• North Shore Physicians Group, LLC
• North Shore Resilient Family LLC

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.