NPIMap

Organization Active NPI

M.L. Savitt Inc

  • Ophthalmology Physician
  • Libertyville, IL
National Provider Identifier
1669424974
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036082634 Issued in IL
Legal business name
M.L. SAVITT INC
Practice address
1800 Hollister Dr
Suite 111
Libertyville, IL 60048-5263
Phone
(847) 573-9055
Fax
(847) 573-1790
NPI assigned
May 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Authorized official

Name
Dr. Michael L Savitt, MDNPI 1275514432
Title
Physician
Phone
(847) 573-9055

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 036082634 IL Primary

Addresses

Primary practice location

1800 Hollister Dr
Suite 111
Libertyville, IL 60048-5263

Mailing address

1800 Hollister Dr
Suite 111
Libertyville, IL 60048-5263
Phone (847) 573-9055

Other identifiers 2

IdentifierTypeStateIssuer
036082634MedicaidIL
180040017OtherILTRAVLERS RR MEDICARE

Other names 1

  • NORTH SHORE GLAUCOMA CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060530000013 IL Part B Supplier - Clinic/Group Practice 1456362722 Receives reassigned benefits from 3 practitioners
Practice locations: Libertyville, IL

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2065544North Shore Glaucoma Center1800 Hollister Dr, Ste 205, Libertyville, IL 60048Certificate of waiverSep 9, 2027

National Provider Directory

National Provider Directory

Locations

1800 Hollister Dr
Ste 111
Libertyville, IL 60048
Phone (847) 573-9055

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275350400000",
    "number": "1669424974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "SUITE 111",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-573-9055",
            "fax_number": "847-573-1790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "SUITE 111",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-573-9055",
            "fax_number": "847-573-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M.L. SAVITT INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-16",
        "last_updated": "2010-06-01",
        "status": "A",
        "authorized_official_last_name": "SAVITT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "847-573-9055",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036082634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036082634",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVLERS RR MEDICARE",
            "identifier": "180040017",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NORTH SHORE GLAUCOMA CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Libertyville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.