The Eye Specialists Center, L.L.C.

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

Organization subpart

No

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.

Title

Owner/Partner/Physician

Phone

(708) 423-4070

Specialties & licenses 2

Addresses

Other identifiers 9

Member organizations 1

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

• The Eye Specialists Center LLC

  • Ophthalmology Physician
  • Chicago Ridge, IL
  • NPI 1083684922

  Member Of

  NPD member

Locations

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Bradley R. Cogswell, O.D.

  • Optometrist
  • Oak Lawn, IL
  • NPI 1164402491
  NPD (past)
• Robert L. Davis, O.D.

  • Optometrist
  • Oak Lawn, IL
  • NPI 1275513509
  NPD (past)
• James Conall Doherty, M.D.

  • Surgery Physician
  • Oak Lawn, IL
  • NPI 1366589194
  NPD (past)
• Subia Fasih, M.D.

  • Internal Medicine Physician
  • Burbank, IL
  • NPI 1285740209
  NPD (past)
• Calvin Alexander Grant, M.D.

  • Ophthalmology Physician
  • Palos Heights, IL
  • NPI 1679551014

  Ophthalmology

  NPD (past)
• William S Hulesch, MD

  • Family Medicine Physician
  • Downers Grove, IL
  • NPI 1699744920
  NPD (past)
• Abdul Rasheed Khan, M.D.

  • Ophthalmology Physician
  • Garland, TX
  • NPI 1164478962

  Ophthalmology

  NPD (past)

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI BIRVA KADAKIA, OD",
            "identifier": "1134481211",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ROSHNI VASAIWALA, MD",
            "identifier": "1437323896",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI JONATHAN S BUKA, MD",
            "identifier": "1477522050",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  HASSAN SHAH, MD",
            "identifier": "1659412682",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI KARL TICHO, MD",
            "identifier": "1881759694",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI ALEXANDER J KHAMMAR, MD",
            "identifier": "1649256512",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI MEGAN ALLEN, OD",
            "identifier": "1306045083",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI EMMET MICHAEL CASSIDY",
            "identifier": "1770544462",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI  BEN TICHO, MD",
            "identifier": "1992782494",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Tai, PA-C
• Thabet Taleb
• Nelson Palarpalar Tamala Jr., FNP-BC
• Mohammed Tarawneh, EDD, CADC
• The Eye Specialists Center LLC
• Thoracic Surgical Associates, LLC
• Benjamin Hendrick Ticho, MD
• Natalie Tolmaire, OTR
• Nimmy Tom, MSN, APN, FNP-BC
• Triple E Transportation LTD

• All providers in Chicago Ridge, IL
• Ophthalmology Physician in Illinois

• 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.