Active NPI
Olympia Fields Eyecare, LTD.
- Ophthalmology Physician
- Flossmoor, IL
National Provider Identifier
1598762007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 042007134
- Legal business name
- OLYMPIA FIELDS EYECARE, LTD.
- Practice address
- 19740 Governors Hwy Ste 124
Flossmoor, IL 60422-2085 - Phone
- (708) 748-5202
- Fax
- (708) 748-7305
- NPI assigned
- Jun 30, 2005
- 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
- Sharon S. Burke, M.D.
- Title
- Owner
- Phone
- (708) 957-1618
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 042007134 | IL | Primary |
Addresses
Primary practice location
19740 Governors Hwy Ste 124
Flossmoor, IL 60422-2085
Mailing address
19740 Governors Hwy Ste 124
Flossmoor, IL 60422-2085
Phone (708) 957-1618
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036078950 | Medicaid | IL |
National Provider Directory
National Provider DirectoryLocations
19740 Governors Hwy
Ste 124
Flossmoor, IL 60422
Phone (708) 748-5202
Practitioners & affiliated clinicians
Practitioners 6
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Corneal and Contact Management Optometrist
- North Riverside, IL
- NPI 1235210964
-
- Cornea and External Diseases Specialist Physician
- Wheaton, IL
- NPI 1295724144
Ophthalmology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1520553600000",
"number": "1598762007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19740 GOVERNORS HWY STE 124",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222085",
"telephone_number": "708-957-1618",
"fax_number": "708-748-7305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19740 GOVERNORS HWY STE 124",
"city": "FLOSSMOOR",
"state": "IL",
"postal_code": "604222085",
"telephone_number": "708-748-5202",
"fax_number": "708-748-7305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OLYMPIA FIELDS EYECARE, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2005-06-30",
"last_updated": "2018-03-09",
"status": "A",
"authorized_official_last_name": "BURKE",
"authorized_official_first_name": "SHARON",
"authorized_official_middle_name": "S.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "708-957-1618",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "042007134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036078950",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Flossmoor, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.