Belmont Eyecare LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

BELMONT EYECARE LLC

Practice address

3110 W Belmont Ave
Unit 1E
Chicago, IL 60618-5788

Phone

(312) 217-9563

Fax

(312) 488-2643

NPI assigned

Mar 13, 2013

Last updated

Apr 21, 2015By 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

Dr. Golie Roshandel Keovan, O.D.NPI 1770601577

Title

Doctor of Optometry

Phone

(312) 217-9563

Specialties & licenses 1

Addresses

Other names 1

• Belmont Eye Care Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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.

• Golie Roshandel Keovan, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1770601577
  Authorized official Same address or phone

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429574400000",
    "number": "1639410830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3110 W BELMONT AVE",
            "address_2": "UNIT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185788",
            "telephone_number": "312-217-9563",
            "fax_number": "312-626-2398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3110 W BELMONT AVE",
            "address_2": "UNIT 1E",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606185788",
            "telephone_number": "312-217-9563",
            "fax_number": "312-488-2643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELMONT EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2015-04-21",
        "status": "A",
        "authorized_official_last_name": "KEOVAN",
        "authorized_official_first_name": "GOLIE",
        "authorized_official_middle_name": "ROSHANDEL",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "312-217-9563",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Belmont Eye Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.