Organization Active NPI

Eyecare at Home

  • Optometrist
  • Oak Forest, IL
National Provider Identifier
1619218294
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYECARE AT HOME
Practice address
5320 W 159TH St
Suite 100
Oak Forest, IL 60452-3334
Phone
(708) 798-8112
NPI assigned
Mar 7, 2013
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Christa Long
Title
Business Office Manager
Phone
(708) 798-8112

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

NPPES NPI Registry

Primary practice location

5320 W 159TH St
Suite 100
Oak Forest, IL 60452-3334

Mailing address

5320 W 159TH St
Suite 400
Oak Forest, IL 60452-3334
Phone (708) 798-8112

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 7, 2013.

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362614400000",
    "number": "1619218294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 W 159TH ST",
            "address_2": "SUITE 400",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523334",
            "telephone_number": "708-798-8112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 W 159TH ST",
            "address_2": "SUITE 100",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523334",
            "telephone_number": "708-798-8112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYECARE AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "CHRISTA",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "708-798-8112"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; 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.