Active NPI
Sarena Eyecare Inc
- Optometrist
- Park Ridge, IL
National Provider Identifier
1700271780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010314
- Legal business name
- SARENA EYECARE INC
- Practice address
- 125 S Northwest Hwy
Park Ridge, IL 60068-4228 - Phone
- (847) 867-7051
- NPI assigned
- Apr 6, 2015
- Last updated
- Aug 26, 2015
- 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
- Lydia Liu-Tchorbadjiyski
- Title
- Optometrist Owner
- Phone
- (847) 867-7051
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046010314 | IL | Primary |
Addresses
Primary practice location
125 S Northwest Hwy
Park Ridge, IL 60068-4228
Mailing address
5809 Washington St
Morton Grove, IL 60053-3376
Phone (847) 867-7051
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
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.
-
- Optometrist
- Morton Grove, IL
- NPI 1881919801
-
- Optician
- Park Ridge, IL
- NPI 1568513737
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440547200000",
"number": "1700271780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5809 WASHINGTON ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533376",
"telephone_number": "847-867-7051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "125 S NORTHWEST HWY",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684228",
"telephone_number": "847-867-7051"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SARENA EYECARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-06",
"last_updated": "2015-08-26",
"status": "A",
"authorized_official_last_name": "LIU-TCHORBADJIYSKI",
"authorized_official_first_name": "LYDIA",
"authorized_official_title_or_position": "OPTOMETRIST OWNER",
"authorized_official_telephone_number": "847-867-7051"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046010314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.