Pediatric Ophthalmology, Adult Strabismus Center LTD.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

3643318 Issued in IL

Legal business name

PEDIATRIC OPHTHALMOLOGY, ADULT STRABISMUS CENTER LTD.

Practice address

1875 W Dempster St
Suite 610
Park Ridge, IL 60068-1186

Phone

(847) 292-2020

NPI assigned

Jan 7, 2008

Organization subpart

No

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

Authorized official

Name

David Mittelman, M.D.

Title

President

Phone

(847) 292-2020

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216339200000",
    "number": "1689859811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER ST",
            "address_2": "SUITE 610",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-292-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 W DEMPSTER ST",
            "address_2": "SUITE 610",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681186",
            "telephone_number": "847-292-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC OPHTHALMOLOGY, ADULT STRABISMUS CENTER LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-07-18",
        "status": "A",
        "authorized_official_last_name": "MITTELMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-292-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "3643318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise L. Pearl, LPC
• Robert D Peck, DC
• Calista Louise Pecoraro
• Pediatric Critical Care Specialists
• Pediatric Dental Associates, PC
• Pediatric Urology Partners
• Deeandra Renee Pedroza, PT, DPT
• Sydney Antoinette Pekarek, DO
• Monika Marie Penksa-Rossi, D.C.
• Amalia Pepek, APN

• Ophthalmology Physician in Park Ridge, IL
• Providers in Park Ridge, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2008; 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.