Organization Active NPI

Professional Eye Care Center, Inc.

  • Optometrist
  • Niles, IL
National Provider Identifier
1720171515
Registry record updated Nov 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PROFESSIONAL EYE CARE CENTER, INC.
Practice address
7225 N Caldwell Ave
Niles, IL 60714-4548
Phone
(847) 647-0707
Fax
(847) 647-1402
NPI assigned
Oct 2, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2010

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

Authorized official

Name
Dr. Pamela A Lowe, O.D.NPI 1851484620
Title
President
Phone
(773) 774-3939

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

7225 N Caldwell Ave
Niles, IL 60714-4548

Mailing address

7225 N Caldwell Ave
Niles, IL 60714-4548
Phone (847) 647-0707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040227000084 IL Part B Supplier - Clinic/Group Practice 6002702883 Receives reassigned benefits from 3 practitioners
Practice locations: Niles, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2214716Professional Eye Care Center, P C7225 N Caldwell Ave, Niles, IL 60714Certificate of waiverFeb 23, 2027

National Provider Directory

National Provider Directory

Locations

6325 N Milwaukee Ave
Chicago, IL 60646
Phone (773) 774-3939

7225 N Caldwell Ave
Niles, IL 60714
Phone (847) 588-2830

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288915200000",
    "number": "1720171515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7225 N CALDWELL AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144548",
            "telephone_number": "847-647-0707",
            "fax_number": "847-647-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7225 N CALDWELL AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144548",
            "telephone_number": "847-647-0707",
            "fax_number": "847-647-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL EYE CARE CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-02",
        "last_updated": "2010-11-05",
        "status": "A",
        "authorized_official_last_name": "LOWE",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-774-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.