Suburban Retina LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-091886 Issued in IL

Legal business name

SUBURBAN RETINA LTD

Practice address

130 S Main St
Ste 303
Lombard, IL 60148-2670

Phone

(630) 424-9877

Fax

(630) 424-9878

NPI assigned

Jan 26, 2007

Organization subpart

No

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

Authorized official

Name

Susan G Vierling, M.D.

Title

Owner

Phone

(630) 424-9877

Specialties & licenses 1

Addresses

Locations

Practitioners 5

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

• Marlyn F Goldberg, M.D.

  • Ophthalmology Physician
  • Elmhurst, IL
  • NPI 1629066519
  NPD (past)
• Allison Eileen Murchison, M.D.

  • Ophthalmology Physician
  • Lemont, IL
  • NPI 1083699573
  NPD (past)
• Timothy Edward Vierling, MD

  • Obstetrics & Gynecology Physician
  • Arlington Heights, IL
  • NPI 1336250380
  NPD (past)
• Herbert C Becker, MD

  • Ophthalmology Physician
  • Hartford, CT
  • NPI 1801852314
  NPD (past)
• Matthew James Welch, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Phoenix, AZ
  • NPI 1316100977
  NPD (past)

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

{
    "created_epoch": "1169769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1710033352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "STE 303",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-424-9877",
            "fax_number": "630-424-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S MAIN ST",
            "address_2": "STE 303",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601482670",
            "telephone_number": "630-424-9877",
            "fax_number": "630-424-9878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUBURBAN RETINA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-26",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "VIERLING",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-424-9877",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-091886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lynda Lee Stout, PHARMD
• Strive for Independence, Inc
• Marilyn K Stuckey, PH.D.
• Caleb Sturdivant
• Suburban Neurology
• Elizabeth Irene Sucharski, MOTR/L
• Jacob Jaewon Suh, D.C.
• Sulmed Labs LLC
• Kathryn Sulzmann, ATC, LAT
• Randall Warren Summerville, PSYD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.