Organization Active NPI

John C. Choi S.C.

  • Ophthalmology Physician
  • Warrenville, IL
National Provider Identifier
1730224544
Registry record updated Oct 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Oct 12, 2007

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

Authorized official

Name
Dr. John C Choi, MDNPI 1699765230
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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
214885OtherILMEDICARE GROUP NUMBER
02233155OtherILBCBS PROVIDER

Other names 1

  • The Eye and Facial Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070406000043 IL Part B Supplier - Clinic/Group Practice 3678677333 Receives reassigned benefits from 1 practitioner
Practice locations: Warrenville, IL

National Provider Directory

National Provider Directory
Tax ID family
John C Choi SC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 3

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": "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.

Verify at the official NPI Registry.