Mars Optical Group Inc

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

MARS OPTICAL GROUP INC

Doing business as

Pearle Vision

Practice address

18234 Halsted St
Homewood, IL 60430-2508

Phone

(709) 798-7711

Fax

(708) 798-1349

NPI assigned

Feb 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mark B Busch, ODNPI 1124167937

Title

President

Phone

(708) 798-7711

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Mark B Busch, OD

  • Optometrist
  • Country Club Hills, IL
  • NPI 1124167937
  Authorized official Same address or phone

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639218357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 PINEHURST LN",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221964",
            "telephone_number": "708-799-0920",
            "fax_number": "708-798-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18234 HALSTED ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302508",
            "telephone_number": "709-798-7711",
            "fax_number": "708-798-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARS OPTICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-798-7711",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maxine Ann Mancino, LCPC
• Manor Care of Homewood Il, LLC (ProMedica Skilled Nursing and Rehabilitation (Homewood))
• Joe Roberson Mardis, LCPC
• Marek Walczyk MD,SC
• Rashel Marrero, LSW
• Bethany Marshall
• Frances Mathews
• Melissa Matthews
• Virgil Matthews
• Kathleen Matushek, OTR

• Optometrist in Homewood, IL
• Providers in Homewood, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.