DRS Luckhardt and Maze LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

060008794 Issued in IL

Legal business name

DRS LUCKHARDT AND MAZE LTD

Practice address

136 N. Cass Ave
Westmont, IL 60559

Phone

(630) 969-2807

Fax

(630) 969-2894

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David A. Maze, O.D..

Title

Owner

Phone

(630) 969-2807

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Valarie Roache, O.D.

  • Optometrist
  • Berwyn, IL
  • NPI 1750720702
  NPD (past)
• Alicia X Wong, OD

  • Vision Therapy Optometrist
  • Westmont, IL
  • NPI 1326525486
  NPD (past)
• Joni Ruth Breuer, O.D.

  • Optometrist
  • Spencer, IA
  • NPI 1083925572
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270771200000",
    "number": "1669596896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 N. CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-969-2807",
            "fax_number": "630-969-2894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 N. CASS AVE",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "60559",
            "telephone_number": "630-969-2807",
            "fax_number": "630-969-2894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DRS LUCKHARDT AND MAZE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2010-04-09",
        "status": "A",
        "authorized_official_last_name": "MAZE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-969-2807",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D.."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060008794",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "211370",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. Mark L. May DC; SC
• Dr. Tamara L. Tencer & Associates, P.C.
• Dr's. Alberti & Cole, LTD.
• Natalie Dreher, LCSW
• Drew Singeisen Counseling
• Gina Drugas, MD
• Du Page Medical Group LTD
• Alexis Duda
• Kelley Dunn, LPC
• Dunne Chiropractic Inc.

• Optometrist in Westmont, IL
• Providers in Westmont, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2010; 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.