NPIMap

Organization Active NPI

Infinity Eyecare LLC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1619220258
Registry record updated Oct 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010592 Issued in IL
Legal business name
INFINITY EYECARE LLC
Practice address
520 N Michigan Ave
#124
Chicago, IL 60611-6982
Phone
(312) 595-1171
NPI assigned
Oct 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2012

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

Authorized official

Name
Dr. Andrew Brauer, ODNPI 1316293590
Title
Owner
Phone
(217) 377-0477

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010592 IL Primary

Addresses

Primary practice location

520 N Michigan Ave
#124
Chicago, IL 60611-6982

Mailing address

520 N Michigan Ave
#124
Chicago, IL 60611-6982
Phone (312) 595-1171

National Provider Directory

National Provider Directory

Locations

520 N Michigan Ave
Ste 124
Chicago, IL 60611
Phone (217) 377-0477

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": "1350604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350604800000",
    "number": "1619220258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N MICHIGAN AVE",
            "address_2": "#124",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116982",
            "telephone_number": "312-595-1171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N MICHIGAN AVE",
            "address_2": "#124",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606116982",
            "telephone_number": "312-595-1171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INFINITY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-19",
        "last_updated": "2012-10-19",
        "status": "A",
        "authorized_official_last_name": "BRAUER",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "217-377-0477",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; 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.