Active NPI
D C Optics LTD
Doing business as Professional Eye Care
- Optometrist
- Wilmette, IL
National Provider Identifier
1669045464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- D C OPTICS LTD
- Doing business as
- Professional Eye Care
- Practice address
- 3223 Lake Ave Ste 14C
Wilmette, IL 60091-1069 - Phone
- (847) 256-8100
- Fax
- (847) 256-8102
- NPI assigned
- Jul 20, 2021
- 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
- Dr. James P Costello, OD
- Title
- Owner
- Phone
- (847) 256-8100
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
3223 Lake Ave Ste 14C
Wilmette, IL 60091-1069
Mailing address
3223 Lake Ave Ste 14C
Wilmette, IL 60091-1069
Phone (847) 256-8100
Other names 1
- PROFESSIONAL EYE CARE
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
3223 Lake Ave
Wilmette, IL 60091
3223 Lake Ave
Ste 14C
Wilmette, IL 60091
Phone (847) 256-8100
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Wilmette, IL
- NPI 1740386887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626739200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626739200000",
"number": "1669045464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3223 LAKE AVE STE 14C",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911069",
"telephone_number": "847-256-8100",
"fax_number": "847-256-8102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3223 LAKE AVE STE 14C",
"city": "WILMETTE",
"state": "IL",
"postal_code": "600911069",
"telephone_number": "847-256-8100",
"fax_number": "847-256-8102"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "D C OPTICS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-20",
"last_updated": "2021-07-20",
"certification_date": "2021-07-20",
"status": "A",
"authorized_official_last_name": "COSTELLO",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "P",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "847-256-8100",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "PROFESSIONAL EYE CARE",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wilmette, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2021; 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.