NPIMap

Organization Active NPI

Central Eye Care LTD

  • Ophthalmology Physician
  • Arlington Heights, IL
National Provider Identifier
1609140409
Registry record updated May 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036102073 Issued in IL
Legal business name
CENTRAL EYE CARE LTD
Practice address
1614 W Central Rd
Suite 107
Arlington Heights, IL 60005-2490
Phone
(224) 735-2016
Fax
(800) 878-6832
NPI assigned
Feb 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2012

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

Authorized official

Name
Dr. David Yonan Badawi, M.D.NPI 1033133996
Title
President
Phone
(224) 735-2016

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 036102073 IL Primary

Addresses

Primary practice location

1614 W Central Rd
Suite 107
Arlington Heights, IL 60005-2490

Mailing address

133 Michael MNR
Glenview, IL 60025-4629
Phone (847) 877-4288

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120515000351 IL Part B Supplier - Clinic/Group Practice 9638332463 Receives reassigned benefits from 6 practitioners
Practice locations: Arlington Heights, IL

National Provider Directory

National Provider Directory

Locations

3030 W Salt Creek Ln
Ste 300
Arlington Heights, IL 60005
Phone (224) 735-2016

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1330300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336521600000",
    "number": "1609140409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MICHAEL MNR",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600254629",
            "telephone_number": "847-877-4288",
            "fax_number": "800-878-6832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 W CENTRAL RD",
            "address_2": "SUITE 107",
            "city": "ARLINGTON HEIGHTS",
            "state": "IL",
            "postal_code": "600052490",
            "telephone_number": "224-735-2016",
            "fax_number": "800-878-6832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-27",
        "last_updated": "2012-05-09",
        "status": "A",
        "authorized_official_last_name": "BADAWI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "YONAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-735-2016",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036102073",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 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.