NPIMap

Organization Active NPI

The Eye Specialists Center, L.L.C.

  • Ophthalmology Physician
  • Chicago Ridge, IL
National Provider Identifier
1699802421
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
THE EYE SPECIALISTS CENTER, L.L.C.
Practice address
10436 Southwest Hwy
Chicago Ridge, IL 60415-2282
Phone
(708) 423-4070
Fax
(708) 423-4216
NPI assigned
Feb 28, 2007
Last updated
Apr 30, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Authorized official

Name
Dr. Benjamin Hendrick Ticho, M.D.NPI 1992782494
Title
Owner/Partner/Physician
Phone
(708) 423-4070

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometric TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1202X IL
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

10436 Southwest Hwy
Chicago Ridge, IL 60415-2282

Mailing address

Department 4684
Carol Stream, IL 60122-4684
Phone (708) 952-0109

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

12935 Gregory St
Blue Island, IL 60406
Phone (708) 597-2000

10436 Southwest Hwy
Ste 1
Chicago Ridge, IL 60415
Phone (708) 423-4070

10436 Southwest Hwy
Ste 207
Chicago Ridge, IL 60415

40 S Clay St
Ste 119
Hinsdale, IL 60521

40 S Clay St
Ste 119E
Hinsdale, IL 60521

6311 W 95th St
Oak Lawn, IL 60453
Phone (708) 423-2258

3700 W 203rd St
Ste 112
Olympia Fields, IL 60461
Phone (708) 679-2580

600 Ravinia Pl
Orland Park, IL 60462
Phone (708) 349-7571

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367280000000",
    "number": "1699802421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPARTMENT 4684",
            "city": "CAROL STREAM",
            "state": "IL",
            "postal_code": "601224684",
            "telephone_number": "708-952-0109",
            "fax_number": "708-952-0329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10436 SOUTHWEST HWY",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152282",
            "telephone_number": "708-423-4070",
            "fax_number": "708-423-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE EYE SPECIALISTS CENTER, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2013-04-30",
        "status": "A",
        "authorized_official_last_name": "TICHO",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "HENDRICK",
        "authorized_official_title_or_position": "OWNER/PARTNER/PHYSICIAN",
        "authorized_official_telephone_number": "708-423-4070",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Ridge, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.