Palos Vision Corrections PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008324 Issued in IL

Legal business name

PALOS VISION CORRECTIONS PC

Practice address

11749 Southwest Hwy
C
Palos Heights, IL 60463-1053

Phone

(630) 640-2464

Fax

(708) 361-5489

NPI assigned

May 24, 2012

Last updated

May 24, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edward L Montwill, O.D.NPI 1225199623

Title

President

Phone

(630) 640-2464

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Edward Leonard Montwill, O.D.

  • Optometrist
  • Camp Lejeune, NC
  • NPI 1225199623
  NPD (past) Authorized official

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

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1669732566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11749 SOUTHWEST HWY",
            "address_2": "C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631053",
            "telephone_number": "630-640-2464",
            "fax_number": "708-361-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11749 SOUTHWEST HWY",
            "address_2": "C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631053",
            "telephone_number": "630-640-2464",
            "fax_number": "708-361-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALOS VISION CORRECTIONS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "MONTWILL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-640-2464",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Palos Psychiatric & Recovery Inst LTD
• Palos Psychotherapy Associates, LLC
• Palos Sleep Center LTD
• Palos Surgicenter, LLC (Centerpoint Surgical)
• Palos Vision Care, Inc (Palos Vision Care, Ltd)
• Michelle Katherine Panek, APRN, CNP
• Park Villa Nursing and Rehabilitation Center LLC
• Parkview Orthopaedic Group S C
• Parkview Orthopaedic Group S C (Parkview Orthopaedic Group RPM)
• Partners in Communication Dev LTD

• Optometrist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; 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.