Active NPI
John C. Choi S.C.
- Ophthalmology Physician
- Warrenville, IL
National Provider Identifier
1730224544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- JOHN C. CHOI S.C.
- Practice address
- 28375 Davis Pkwy Ste 905
Warrenville, IL 60555-3030 - Phone
- (630) 836-1616
- Fax
- (630) 836-1612
- NPI assigned
- Feb 20, 2007
- 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
- Dr. John C Choi, MD
- Title
- President
- Phone
- (630) 836-1616
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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | IL | Primary |
Addresses
Primary practice location
28375 Davis Pkwy Ste 905
Warrenville, IL 60555-3030
Mailing address
28375 Davis Pkwy Ste 905
Warrenville, IL 60555-3030
Phone (630) 836-1616
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214885 | Other | IL | MEDICARE GROUP NUMBER |
| 02233155 | Other | IL | BCBS PROVIDER |
Other names 1
- The Eye and Facial Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- John C Choi SC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Ophthalmology Physician
- Warrenville, IL
- NPI 1033250436
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Warrenville, IL
- NPI 1699765230
-
- Optometrist
- Chicago, IL
- NPI 1194194100
-
- Optometrist
- Washington Island, WI
- NPI 1538355839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1192147200000",
"number": "1730224544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28375 DAVIS PKWY STE 905",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553030",
"telephone_number": "630-836-1616",
"fax_number": "630-836-1612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28375 DAVIS PKWY STE 905",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553030",
"telephone_number": "630-836-1616",
"fax_number": "630-836-1612"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOHN C. CHOI S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-20",
"last_updated": "2007-10-12",
"status": "A",
"authorized_official_last_name": "CHOI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-836-1616",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NUMBER",
"identifier": "214885",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER",
"identifier": "02233155",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "The Eye and Facial Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2007; 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.