NPIMap

Organization Active NPI

Eligijus P. Lelis M.D. & Associates, S.C.

Doing business as Spectrum Eye Institute

  • Ophthalmology Physician
  • Joliet, IL
National Provider Identifier
1700830957
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ELIGIJUS P. LELIS M.D. & ASSOCIATES, S.C.
Doing business as
Spectrum Eye Institute
Practice address
963 N 129TH Infantry Dr
Ste 110
Joliet, IL 60435-3103
Phone
(815) 729-3777
Fax
(815) 725-9358
NPI assigned
May 20, 2006
Last updated
May 19, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Dr. Eligijus P Lelis, MDNPI 1043264252
Title
President
Phone
(815) 729-3777

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

963 N 129TH Infantry Dr
Ste 110
Joliet, IL 60435-3103

Mailing address

963 N. 129TH Infantry Dr
Suite 110
Joliet, IL 60435-3103
Phone (815) 729-3777

Other identifiers 2

IdentifierTypeStateIssuer
CG9902OtherILRR MEDICARE
0009919581OtherILBLUE CROSS BLUE SHIELD IL

Other names 1

  • Spectrum Eye Institute Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050517000909 IL Part B Supplier - Clinic/Group Practice 5890736102 Receives reassigned benefits from 6 practitioners
Practice locations: Manteno, IL; Palos Heights, IL; New Lenox, IL; Mokena, IL; Morris, IL; Joliet, IL

National Provider Directory

National Provider Directory
Tax ID family
Eligijus P Lelis MD Associates SC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

120 Count Ryside Pkwy
Washington, DC 20560

963 N 129th Infantry Dr
Joliet, IL 60435
Phone (815) 725-8425

963 N 129th Infantry Dr
#9902
Joliet, IL 60435

501 S Locust St
#50
Manteno, IL 60950

113 E Jefferson St
Morris, IL 60450
Phone (815) 942-1951

Interoperability endpoints

  • Direct secure messaging: adesai@eplmvp.intellechartdirect.net
  • Direct secure messaging: elelis@eplmvp.intellechartdirect.net
  • Direct secure messaging: kwinkler@eplmvp.intellechartdirect.net
  • Direct secure messaging: malles@eplmvp.intellechartdirect.net
  • Direct secure messaging: mrassouli@eplmvp.intellechartdirect.net
  • Direct secure messaging: shashmi@eplmvp.intellechartdirect.net
  • Direct secure messaging: swinkler@eplmvp.intellechartdirect.net

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": "1148083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1700830957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 N. 129TH INFANTRY DR",
            "address_2": "SUITE 110",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353103",
            "telephone_number": "815-729-3777",
            "fax_number": "815-725-9358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "963 N 129TH INFANTRY DR",
            "address_2": "STE 110",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604353103",
            "telephone_number": "815-729-3777",
            "fax_number": "815-725-9358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIGIJUS P. LELIS M.D. & ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-20",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "LELIS",
        "authorized_official_first_name": "ELIGIJUS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-729-3777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CG9902",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "0009919581",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spectrum Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.