Active NPI
Lawrence D. Wolin, M.D.,S.C.
Doing business as Northwest Ophthalmology
- Ophthalmology Physician
- Arlington Heights, IL
National Provider Identifier
1669654513
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036059451
- Legal business name
- LAWRENCE D. WOLIN, M.D.,S.C.
- Doing business as
- Northwest Ophthalmology
- Practice address
- 1602 W Central Rd
Arlington Heights, IL 60005-2407 - Phone
- (847) 255-3515
- Fax
- (847) 255-8727
- NPI assigned
- Dec 3, 2007
- Last updated
- Feb 14, 2011
- Organization subpart
- Yes
- Parent organization
- LAWRENCE D. WOLIN, M.D.,S.C.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Lawrence D Wolin, MD
- Title
- Physician
- Phone
- (847) 255-3515
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036059451 | IL | Primary |
Addresses
Primary practice location
1602 W Central Rd
Arlington Heights, IL 60005-2407
Mailing address
1602 W Central Rd
Arlington Heights, IL 60005-2407
Phone (847) 255-3515
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036059451 | Medicaid | IL | |
| 1623380 | Other | IL | BCBS |
| 180037165 | Other | IL | MEDIARE RAILROAD |
Other names 1
- Northwest Ophthalmology
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Part of
- Lawrence D Wolin MD SC
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Ophthalmology Physician
- Arlington Heights, IL
- NPI 1982606836
-
- Optometrist
- Arlington Heights, IL
- NPI 1710391933
-
- Optometrist
- Chicago Ridge, IL
- NPI 1124124409
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196640000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1297641600000",
"number": "1669654513",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1602 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052407",
"telephone_number": "847-255-3515",
"fax_number": "847-255-8727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1602 W CENTRAL RD",
"city": "ARLINGTON HEIGHTS",
"state": "IL",
"postal_code": "600052407",
"telephone_number": "847-255-3515",
"fax_number": "847-255-8727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAWRENCE D. WOLIN, M.D.,S.C.",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "LAWRENCE D. WOLIN, M.D.,S.C.",
"enumeration_date": "2007-12-03",
"last_updated": "2011-02-14",
"status": "A",
"authorized_official_last_name": "WOLIN",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "847-255-3515",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036059451",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036059451",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1623380",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDIARE RAILROAD",
"identifier": "180037165",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Northwest Ophthalmology",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Arlington Heights, IL
- Laura Kezdi-Hamzeloo, LCPC (LKH Therapy, P.C.)
- Carla Ruth Laury, LCPC
- Lauter, Jarosz & Valente Orthodontics, P.C.
- Monica Ann Lavrisa
- Lawrence D Wolin MD SC (Northwest Ophthalmology)
- Lawrence Martin MD SC
- Lauren A. Lea, APN-CNP
- Virginia Ann Leahy, LPMT, MT-BC
- Karen Leander, PHARMD
- Katarzyna Lebek, LSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.