West Suburban Eye Center, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036095872 Issued in IL

Legal business name

WEST SUBURBAN EYE CENTER, S.C.

Practice address

396 Remington Blvd.
Suite 340
Bolingbrook, IL 60440-3442

Phone

(630) 759-9800

Fax

(630) 759-9858

NPI assigned

Mar 21, 2006

Organization subpart

No

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

Authorized official

Name

Prakash Selvaraj, M.D.NPI 1467454124

Title

President

Phone

(630) 759-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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

• Prakash Selvaraj, M.D.

  • Ophthalmology Physician
  • Bolingbrook, IL
  • NPI 1467454124
  Medicare reassignment NPD Authorized official
• Sujaya P Rupani, MD

  • Ophthalmology Physician
  • Bolingbrook, IL
  • NPI 1154372845
  NPD (past)
• Rajakumari Prakash Selvaraj, M.D.

  • Ophthalmology Physician
  • Bolingbrook, IL
  • NPI 1992764625
  NPD (past)

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

{
    "created_epoch": "1142899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317686400000",
    "number": "1619936358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD.",
            "address_2": "SUITE 340",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442",
            "telephone_number": "630-759-9800",
            "fax_number": "630-759-9858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "396 REMINGTON BLVD.",
            "address_2": "SUITE 340",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604403442",
            "telephone_number": "630-759-9800",
            "fax_number": "630-759-9858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST SUBURBAN EYE CENTER, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-21",
        "last_updated": "2011-10-04",
        "status": "A",
        "authorized_official_last_name": "SELVARAJ",
        "authorized_official_first_name": "PRAKASH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-759-9800",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036095872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hilary Wellman, D.C.
• Wellness Made Whole Inc
• Lirlije Wells, RDH
• Jessica Weniger, PA
• Gail Maureen West Hooper, LCSW
• Susan Wexler, N.P.
• Robin Whatley, MD
• Brenda K. White, LCPC
• Jessica White, SSP
• Jamie Lynn Wiatrak

• Ophthalmology Physician in Bolingbrook, IL
• Providers in Bolingbrook, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2011; 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.