Park Ridge North Suburban Vision Consultants LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010530 Issued in IL

Legal business name

PARK RIDGE NORTH SUBURBAN VISION CONSULTANTS LLC

Practice address

303 N Northwest Hwy
Park Ridge, IL 60068-3366

Phone

(847) 823-8283

Fax

(847) 823-1099

NPI assigned

Aug 13, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Press, O.D.

Title

Optometrist

Phone

(847) 823-8283

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• North Suburban Vision Consultants-Park Ridge Doing business as

Practitioners 1

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

• Steven Barry Eiden, O.D.

  • Optometrist
  • Deerfield, IL
  • NPI 1457342685
  NPD

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

{
    "created_epoch": "1376352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1376352000000",
    "number": "1659704682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683366",
            "telephone_number": "847-823-8283",
            "fax_number": "847-823-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 N NORTHWEST HWY",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600683366",
            "telephone_number": "847-823-8283",
            "fax_number": "847-823-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK RIDGE NORTH SUBURBAN VISION CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-13",
        "last_updated": "2013-08-13",
        "status": "A",
        "authorized_official_last_name": "PRESS",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-823-8283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010530",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12412411",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Suburban Vision Consultants-Park Ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; 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.