Organization Active NPI

Stuart P. Sondheimer, M.D., S.C.

  • Ophthalmology Physician
  • Deerfield, IL
National Provider Identifier
1609887736
Registry record updated May 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-066719 Issued in IL
Legal business name
STUART P. SONDHEIMER, M.D., S.C.
Practice address
360 S. Waukegan Rd
Suite a
Deerfield, IL 60015-5654
Phone
(847) 412-0311
Fax
(847) 412-0316
NPI assigned
Aug 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2008

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

Authorized official

Name
Dr. Stuart Philip Sondheimer, M.D.
Title
President
Phone
(847) 677-2794

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036-066719 IL Primary

Addresses

Primary practice location

360 S. Waukegan Rd
Suite a
Deerfield, IL 60015-5654

Mailing address

360 S. Waukegan Rd
Suite a
Deerfield, IL 60015-5654
Phone (847) 412-0311

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050304000500 IL Part B Supplier - Clinic/Group Practice 0244284008 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Evanston, IL; Skokie, IL; Lincolnwood, IL; Highland Park, IL; Glenview, IL; Chicago, IL

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

360 S Waukegan Rd
Ste A
Deerfield, IL 60015
Phone (847) 412-0311

Practitioners & affiliated clinicians

Practitioners 1

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": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211241600000",
    "number": "1609887736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S. WAUKEGAN RD",
            "address_2": "SUITE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155654",
            "telephone_number": "847-412-0311",
            "fax_number": "847-412-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S. WAUKEGAN RD",
            "address_2": "SUITE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155654",
            "telephone_number": "847-412-0311",
            "fax_number": "847-412-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STUART P. SONDHEIMER, M.D., S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2008-05-20",
        "status": "A",
        "authorized_official_last_name": "SONDHEIMER",
        "authorized_official_first_name": "STUART",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-677-2794",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-066719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2008; 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.