Active NPI
Eye Care Center of Lake County, LTD
- Ophthalmology Physician
- Gurnee, IL
National Provider Identifier
1649307737
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- EYE CARE CENTER OF LAKE COUNTY, LTD
- Practice address
- 310 S Greenleaf St Ste 212
Gurnee, IL 60031-5708 - Phone
- (847) 244-1657
- Fax
- (847) 244-1522
- NPI assigned
- Feb 27, 2007
- Last updated
- Jan 14, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Elizabeth Leclair
- Title
- Practice Admin
- Phone
- (847) 244-1657
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | NU | Primary |
Addresses
Primary practice location
310 S Greenleaf St Ste 212
Gurnee, IL 60031-5708
Mailing address
310 S Greenleaf St Ste 212
Gurnee, IL 60031-5708
Phone (847) 244-1657
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04915265 | Other | BLUE CROSS - BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071015000383 | IL | Part B Supplier - Clinic/Group Practice | 9436245958 |
Receives reassigned benefits from 2 practitioners Practice locations: Gurnee, IL |
Other NPIs with the same Medicare PAC ID 1
NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).
-
- Durable Medical Equipment & Medical Supplies
- Gurnee, IL
- NPI 1952526550
9436245958
National Provider Directory
National Provider Directory- Tax ID family
- Eye Care Ctr Vernon Hil
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Medical Specialty Clinic/Center
- Gurnee, IL
- NPI 1932507902
-
- Durable Medical Equipment & Medical Supplies
- Gurnee, IL
- NPI 1952526550
Locations
310 S Greenleaf St
Ste 209
Gurnee, IL 60031
Phone (708) 244-1657
Practitioners & affiliated clinicians
Practitioners 2
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.
-
- Ophthalmology Physician
- Gurnee, IL
- NPI 1063549194
-
- Optometrist
- Gurnee, IL
- NPI 1518916741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768348800000",
"number": "1649307737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 S GREENLEAF ST STE 212",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315708",
"telephone_number": "847-244-1657",
"fax_number": "847-244-5122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S GREENLEAF ST STE 212",
"city": "GURNEE",
"state": "IL",
"postal_code": "600315708",
"telephone_number": "847-244-1657",
"fax_number": "847-244-1522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYE CARE CENTER OF LAKE COUNTY, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A",
"authorized_official_last_name": "LECLAIR",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_title_or_position": "PRACTICE ADMIN",
"authorized_official_telephone_number": "847-244-1657"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS - BLUE SHIELD",
"identifier": "04915265",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Gurnee, IL
- Marina Aurelio Estrella, FNP
- Evolve Youth & Family Counseling LLC
- Excell Medical Center SC
- Excellence in Dentistry, LTD.
- Eye Care 4 U, S.C.
- Eye Care Center of Lake County, LTD
- Eye Care Center of Lake County, LTD
- Family Focused Healthcare (Wai Chee Cheung-O'Carroll, M.D., S.C.)
- Family Orthodontics of Lake County, P.C.
- Family Smile Center,Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; 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.