Organization Active NPI

North Shore Eye Consultants LTD

  • Ophthalmology Physician
  • Glenview, IL
National Provider Identifier
1598019440
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NORTH SHORE EYE CONSULTANTS LTD
Doing business as
Amy Cunningham MD
Practice address
2440 Ravine Way
Suite 500
Glenview, IL 60025-7647
Phone
(847) 724-9400
Fax
(847) 724-9401
NPI assigned
Oct 30, 2012
Organization subpart
Yes
Parent organization
NORTH SHORE EYE CONSULTANTS LTDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Amy L Cunningham, MDNPI 1790709053
Title
Medical Doctor
Phone
(847) 724-9400

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 IL Primary

Addresses

Primary practice location

2440 Ravine Way
Suite 500
Glenview, IL 60025-7647

Mailing address

2440 Ravine Way
Suite 500
Glenview, IL 60025-7647
Phone (847) 724-9400

Other names 1

  • Amy Cunningham MD Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130307000492 IL Part B Supplier - Clinic/Group Practice 3476708975 Receives reassigned benefits from 3 practitioners
Practice locations: Glenview, IL

National Provider Directory

National Provider Directory
Part of
North Shore Eye Consultants LTD

Practitioners & affiliated clinicians

Practitioners 3

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": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1598019440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2440 RAVINE WAY",
            "address_2": "SUITE 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257647",
            "telephone_number": "847-724-9400",
            "fax_number": "847-724-9401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 RAVINE WAY",
            "address_2": "SUITE 500",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257647",
            "telephone_number": "847-724-9400",
            "fax_number": "847-724-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH SHORE EYE CONSULTANTS LTD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH SHORE EYE CONSULTANTS LTD",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "CUNNINGHAM",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "847-724-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amy Cunningham MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 30, 2012; 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.