Lotus Eyecare, Inc.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

IL0 36096708 Issued in IL

Legal business name

LOTUS EYECARE, INC.

Doing business as

Wicker Park Eye Center

Practice address

2222 W Division St
Suite 135
Chicago, IL 60622-2717

Phone

(773) 376-2020

Fax

(773) 376-2227

NPI assigned

Feb 15, 2008

Last updated

Sep 12, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Daniel J Tepper, MDNPI 1629088604

Title

Owner

Phone

(773) 376-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Wicker Park Eye Center Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 3

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.

• Daniel J Tepper, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1629088604
  Medicare reassignment Care Compare group Authorized official
• Parisha Shah, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1962767525
  Medicare reassignment Care Compare group NPD
• Chitra V Nadimpalli, MD

  • Ophthalmology Physician
  • Port Arthur, TX
  • NPI 1306816616
  NPD (past)

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1536710400000",
    "number": "1699943316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-376-2020",
            "fax_number": "773-376-2227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "SUITE 135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-376-2020",
            "fax_number": "773-376-2227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOTUS EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2018-09-12",
        "status": "A",
        "authorized_official_last_name": "TEPPER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-376-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "IL0 36096708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036096708",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wicker Park Eye Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wicker Park Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sonia Marie Lott, M.D.
• Stacy April Lott, M.S.
• Francis Paul Lotta III, CADC
• Robyn Grayson Lottes, MD, PHD
• Lotus Center
• Lotus Healing, LLC
• Lotus Point Counseling LTD
• Lotus Root Counseling PLLC
• Lotus Trauma Care, LLC
• Lotuscare Services LLC

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.