NPIMap

Organization Active NPI

Community Eye Specialists

  • Optometrist
  • Chicago, IL
National Provider Identifier
1679716161
Registry record updated Aug 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009906 Issued in IL
Legal business name
COMMUNITY EYE SPECIALISTS
Practice address
2880 N Milwaukee Ave
Chicago, IL 60618-7413
Phone
(773) 486-7661
Fax
(773) 486-2821
NPI assigned
Apr 13, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2009

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

Authorized official

Name
Dr. Luiza Maria Gheorghe -Youssefi, O.D.
Title
President
Phone
(312) 622-0709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009906 IL Primary

Addresses

Primary practice location

2880 N Milwaukee Ave
Chicago, IL 60618-7413

Mailing address

1219 Laura LN
Woodridge, IL 60517-5063
Phone (312) 622-0709

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1249344000000",
    "number": "1679716161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 LAURA LN",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605175063",
            "telephone_number": "312-622-0709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2880 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606187413",
            "telephone_number": "773-486-7661",
            "fax_number": "773-486-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY EYE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2009-08-04",
        "status": "A",
        "authorized_official_last_name": "GHEORGHE -YOUSSEFI",
        "authorized_official_first_name": "LUIZA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-622-0709",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.