Pediatric Eye Associates, PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PEDIATRIC EYE ASSOCIATES, PC

Doing business as

Pediatric Eye Associates

Practice address

3612 Lake Ave
Suite 2C
Wilmette, IL 60091-1000

Phone

(847) 256-2020

NPI assigned

May 31, 2006

Last updated

Aug 29, 2019By 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

Deborah FishmanNPI 1982659314

Title

Owner

Phone

(847) 256-2020

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Eye Associates Doing business as

Locations

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.

• Deborah Fishman

  • Ophthalmology Physician
  • Wilmette, IL
  • NPI 1982659314
  Authorized official Same address or phone
• Jay K. Chauhan, D.O.

  • Otolaryngology Physician
  • Normal, IL
  • NPI 1639170731
  NPD (past)

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1710924857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3612 LAKE AVE",
            "address_2": "SUITE 2C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3612 LAKE AVE",
            "address_2": "SUITE 2C",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911000",
            "telephone_number": "847-256-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC EYE ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "FISHMAN",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-256-2020"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pediatric Eye Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Path to Empowerment PLLC
• Patricia Nolan LCSW LLC
• Peak Therapeutics, LTD (Peak and Balance Centers of America)
• Joie Pecoraro, LSW
• Pediatric Dentisrty Specialists P.C.
• Jodi Petchenik, M.S.W., L.C.S.W.
• Peter R. Lewy, MD, LTD (Pediatric Associates of the North Shore)
• Nancy E Peter, MSW, LCSW
• Kathleen Philben, PH.D.
• Philip Cook DDS LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.