Active NPI
Steven a. Udesky, O.D. & Associates L.L.C.
- Optometrist
- Northbrook, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009031
- Legal business name
- STEVEN A. UDESKY, O.D. & ASSOCIATES L.L.C.
- Practice address
- 2750 Dundee Rd Ste 2
Northbrook, IL 60062-2600 - Phone
- (847) 562-2010
- Fax
- (847) 562-2012
- NPI assigned
- Aug 18, 2010
- Last updated
- Sep 5, 2012
- 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. Steven Alan Udesky, O.D.
- Title
- Optometrist
- Phone
- (847) 562-2010
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046009031 | IL | Primary |
Addresses
Primary practice location
2750 Dundee Rd Ste 2
Northbrook, IL 60062-2600
Mailing address
2750 Dundee Rd Ste 2
Northbrook, IL 60062-2600
Phone (847) 562-2010
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2750 Dundee Rd
Ste 2
Northbrook, IL 60062
Phone (847) 562-2010
3117 Dundee Rd
Northbrook, IL 60062
Phone (847) 562-2010
Practitioners & affiliated clinicians
Practitioners 1
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
- Northbrook, IL
- NPI 1023160082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1346803200000",
"number": "1598071227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 DUNDEE RD STE 2",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622600",
"telephone_number": "847-562-2010",
"fax_number": "847-562-2012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 DUNDEE RD STE 2",
"city": "NORTHBROOK",
"state": "IL",
"postal_code": "600622600",
"telephone_number": "847-562-2010",
"fax_number": "847-562-2012"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STEVEN A. UDESKY, O.D. & ASSOCIATES L.L.C.",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-18",
"last_updated": "2012-09-05",
"status": "A",
"authorized_official_last_name": "UDESKY",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "847-562-2010",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009031",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northbrook, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.