NPIMap

Organization Active NPI

Lemon & Vo OD'S LTD.

  • Optometrist
  • Matteson, IL
National Provider Identifier
1679734776
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009316 Issued in IL
Legal business name
LEMON & VO OD'S LTD.
Practice address
21430 S Cicero Ave
Matteson, IL 60443-2215
Phone
(708) 747-4198
Fax
(708) 747-6251
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Dr. Ronald Samuel Lemon II, O.D.
Title
President
Phone
(219) 588-3349

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009316 IL Primary

Addresses

Primary practice location

21430 S Cicero Ave
Matteson, IL 60443-2215

Mailing address

PO Box 1045
Chesterton, IN 46304-0045
Phone (219) 588-3349

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1679734776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1045",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463040045",
            "telephone_number": "219-588-3349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21430 S CICERO AVE",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432215",
            "telephone_number": "708-747-4198",
            "fax_number": "708-747-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEMON & VO OD'S LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "LEMON",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-588-3349",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.