Active NPI
Village Eye Physicians LTD
- Ophthalmology Physician
- Oak Park, IL
National Provider Identifier
1689986754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 036090975
- Legal business name
- VILLAGE EYE PHYSICIANS LTD
- Practice address
- 1046 Chicago Ave
Oak Park, IL 60302-1842 - Phone
- (630) 833-9621
- Fax
- (630) 833-9465
- NPI assigned
- Jul 6, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin J Kovach, M.D.
- Title
- President
- Phone
- (708) 848-4353
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 036090975 | IL | Primary |
Addresses
Primary practice location
1046 Chicago Ave
Oak Park, IL 60302-1842
Mailing address
152 N Addison Ave
Elmhurst, IL 60126-2821
Phone (630) 833-9621
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278374400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1529452800000",
"number": "1689986754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "152 N ADDISON AVE",
"city": "ELMHURST",
"state": "IL",
"postal_code": "601262821",
"telephone_number": "630-833-9621",
"fax_number": "630-833-9465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1046 CHICAGO AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "603021842",
"telephone_number": "630-833-9621",
"fax_number": "630-833-9465"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VILLAGE EYE PHYSICIANS LTD",
"organizational_subpart": "NO",
"enumeration_date": "2010-07-06",
"last_updated": "2018-06-20",
"status": "A",
"authorized_official_last_name": "KOVACH",
"authorized_official_first_name": "KEVIN",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-848-4353",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": "036090975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.