NPIMap

Organization Active NPI

Olympia Fields Eyecare, LTD.

  • Ophthalmology Physician
  • Flossmoor, IL
National Provider Identifier
1598762007
Registry record updated Mar 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
042007134 Issued in IL
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
Last updated
Mar 9, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2018

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

Authorized official

Name
Sharon S. Burke, M.D.NPI 1952308355
Title
Owner
Phone
(708) 957-1618

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

National Provider Directory

National Provider Directory

Locations

19740 Governors Hwy
Ste 124
Flossmoor, IL 60422
Phone (708) 748-5202

Practitioners & affiliated clinicians

Practitioners 7

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.

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": [],
    "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.

Verify at the official NPI Registry.