Organization Active NPI

Kovach Eye Institute, LTD

  • Ophthalmology Physician
  • Elmhurst, IL
National Provider Identifier
1669498267
Registry record updated May 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
042-616829 Issued in IL
Legal business name
KOVACH EYE INSTITUTE, LTD
Practice address
152 N Addison Ave
Elmhurst, IL 60126
Phone
(630) 833-9621
Fax
(630) 833-9465
NPI assigned
Jul 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2018

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

Authorized official

Name
Kevin J Kovach, C.O.E.NPI 1386643658
Title
President
Phone
(630) 833-9621

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 MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 042-616829 IL Primary

Addresses

Primary practice location

152 N Addison Ave
Elmhurst, IL 60126

Mailing address

152 N Addison Ave
Elmhurst, IL 60126-2821
Phone (630) 833-9621

Other identifiers 2

IdentifierTypeStateIssuer
02222949OtherILBLUE SHIELD OF ILLINOIS
CG2135OtherILPALMETTO GBA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050323000667 IL Part B Supplier - Clinic/Group Practice 9032165071 Receives reassigned benefits from 9 practitioners
Practice locations: Lincolnwood, IL; South Barrington, IL; Naperville, IL; Elmhurst, 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
14D2048137Kovach Eye Institute LTD152 N Addison Ave, Ste 100, Elmhurst, IL 60126Certificate of waiverOct 9, 2026

National Provider Directory

National Provider Directory

Locations

150 N Michigan Ave
Ste 650
Chicago, IL 60601
Phone (312) 372-7271

152 N Addison Ave
Ste 100
Elmhurst, IL 60126
Phone (630) 833-9621

152 N Addison Ave
Elmhurst, IL 60126
Phone (630) 833-9621

152 N Addison Ave
Fl 1
Elmhurst, IL 60126
Phone (630) 833-9621

1300 N Arlington Heights Rd
Ste 130
Itasca, IL 60143
Phone (847) 871-4540

1300 N Arlington Heights Rd
Ste 150
Itasca, IL 60143
Phone (630) 634-2980

1960 Springbrook Square Dr
Naperville, IL 60564

1960 Springbrook Square Dr
Ste 102
Naperville, IL 60564
Phone (630) 637-9955

100 W Higgins Rd
Unit H35
South Barrington, IL 60010
Phone (630) 793-4134

Practitioners & affiliated clinicians

Practitioners 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526515200000",
    "number": "1669498267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601262821",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "152 N ADDISON AVE",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "60126",
            "telephone_number": "630-833-9621",
            "fax_number": "630-833-9465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVACH EYE INSTITUTE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2018-05-17",
        "status": "A",
        "authorized_official_last_name": "KOVACH",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-833-9621",
        "authorized_official_credential": "C.O.E."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "042-616829",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF ILLINOIS",
            "identifier": "02222949",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA",
            "identifier": "CG2135",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; 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.