Full Sail Partners

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

FULL SAIL PARTNERS

Practice address

755 E Boughton Rd
Bolingbrook, IL 60440-2250

Phone

(630) 783-0225

Fax

(630) 783-0225

NPI assigned

Nov 30, 2007

Organization subpart

No

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

Authorized official

Name

Eric Bertrand

Title

Receptionist

Phone

(574) 936-8144

Specialties & licenses 2

Addresses

Other names 1

• Vision Center@Meijer Doing business as

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1659553642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8782",
            "city": "KENTWOOD",
            "state": "MI",
            "postal_code": "495188782",
            "telephone_number": "616-455-8434",
            "fax_number": "616-455-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E BOUGHTON RD",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604402250",
            "telephone_number": "630-783-0225",
            "fax_number": "630-783-0225"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULL SAIL PARTNERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "BERTRAND",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "RECEPTIONIST",
        "authorized_official_telephone_number": "574-936-8144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Center@Meijer",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Hal Scott Frankel, O.D.
• Jennifer Rose Frankowicz
• Carol E Frenzel, HYGENIST
• Tyson L Frenzel, DDS
• Richard W Freund, PT
• Wendy Fullmer, SCHOOL PSYCHOLOGIST
• Helen Fylstra
• Waleed A Gabr, DC
• Juris Gadia
• Stephanie Gallant

• 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 Nov 30, 2007; 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.