Organization Active NPI

Style Optique Inc

  • Optometrist
  • South Barrington, IL
National Provider Identifier
1669968475
Registry record updated Jul 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
STYLE OPTIQUE INC
Practice address
100 W Higgins Rd
South Barrington, IL 60010-9408
Phone
(847) 836-0108
NPI assigned
Jul 4, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2018

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

Authorized official

Name
Lisa Palermo
Title
President
Phone
(847) 836-0108

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

100 W Higgins Rd
South Barrington, IL 60010-9408

Mailing address

100 W Higgins Rd
South Barrington, IL 60010-9408

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180906002869 IL Part B Supplier - Clinic/Group Practice 6002166378 Receives reassigned benefits from 3 practitioners
Practice locations: South Barrington, IL

National Provider Directory

National Provider Directory

Locations

100 W Higgins Rd
South Barrington, IL 60010
Phone (630) 497-9787

100 W Higgins Rd
Unit E30
South Barrington, IL 60010
Phone (847) 836-0108

Practitioners & affiliated clinicians

Practitioners 4

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": "1530662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1530662400000",
    "number": "1669968475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W HIGGINS RD",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W HIGGINS RD",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109408",
            "telephone_number": "847-836-0108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STYLE OPTIQUE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-04",
        "last_updated": "2018-07-04",
        "status": "A",
        "authorized_official_last_name": "PALERMO",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-836-0108"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2018; 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.

Verify at the official NPI Registry.