Family Eye Physicians, LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036103747 Issued in IL

Legal business name

FAMILY EYE PHYSICIANS, LTD

Practice address

6201 W 95TH St
Oak Lawn, IL 60453-2701

Phone

(708) 636-9393

Fax

(708) 636-2022

NPI assigned

Nov 15, 2006

Last updated

Feb 16, 2023By 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

Mohammad Al-Khudari, MDNPI 1902891948

Title

President

Phone

(708) 636-9393

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

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

CLIA laboratory certificates

Locations

Interoperability endpoints

• Direct secure messaging: dnguyen@familyeyephysicians.intellechartdirect.net
• Direct secure messaging: gpappas@familyeyephysicians.intellechartdirect.net
• Direct secure messaging: ilazarz@familyeyephysicians.intellechartdirect.net
• Direct secure messaging: rtineh@familyeyephysicians.intellechartdirect.net

Practitioners 23

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.

• Mohammad Al-Khudari, MD

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1902891948
  Medicare reassignment Care Compare group NPD Authorized official
• James Carroll, OD

  • Optometrist
  • Oak Lawn, IL
  • NPI 1649018391
  Medicare reassignment Care Compare group NPD
• Nicholas Karjun Chan, M.D.

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1396132403
  Medicare reassignment Care Compare group NPD
• Azalea Garcia, OD

  • Optometrist
  • Oak Lawn, IL
  • NPI 1689265373
  Medicare reassignment Care Compare group NPD
• Evan Douglas Hapner, O.D.

  • Optometrist
  • Schaumburg, IL
  • NPI 1891946216
  Medicare reassignment Care Compare group NPD
• Wassia Khaja Ahmed, M.D.

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1932427754
  Medicare reassignment Care Compare group NPD
• Inae Jang Kim, MD

  • Ophthalmology Physician
  • Oak Lawn, IL
  • NPI 1043831894
  Medicare reassignment Care Compare group NPD
• Neerav Neel Lamba, M.D.

  • Ophthalmology Physician
  • Oak Brook, IL
  • NPI 1396030094
  Medicare reassignment Care Compare group NPD
• Ibrahim F Mohsin, OD

  • Optometrist
  • Oak Lawn, IL
  • NPI 1194561431
  Medicare reassignment Care Compare group NPD
• Dzung X Nguyen, OD

  • Optometrist
  • Oak Lawn, IL
  • NPI 1205826708
  Medicare reassignment Care Compare group NPD
• Sana Omar

  • Optometrist
  • Orland Park, IL
  • NPI 1437035086
  Medicare reassignment Care Compare group NPD
• George G Pappas, O.D.

  • Optometrist
  • Oak Lawn, IL
  • NPI 1679721997
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676505600000",
    "number": "1730252230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6201 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532701",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4459 N Kedzie Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606254785",
            "country_code": "US",
            "telephone_number": "773-866-2020",
            "fax_number": "773-866-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "68 W Dundee Rd",
            "address_purpose": "LOCATION",
            "city": "Buffalo Grove",
            "state": "IL",
            "postal_code": "600893758",
            "country_code": "US",
            "telephone_number": "847-541-3334",
            "fax_number": "847-541-8442",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14494 John Humphrey Dr",
            "address_purpose": "LOCATION",
            "city": "Orland Park",
            "state": "IL",
            "postal_code": "604622638",
            "country_code": "US",
            "telephone_number": "708-226-9393",
            "fax_number": "708-403-5751",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17W682 Butterfield Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Oakbrook Terrace",
            "state": "IL",
            "postal_code": "601814029",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1760 W Wise Rd",
            "address_purpose": "LOCATION",
            "city": "Schaumburg",
            "state": "IL",
            "postal_code": "601933524",
            "country_code": "US",
            "telephone_number": "708-636-9393",
            "fax_number": "708-636-2022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FAMILY EYE PHYSICIANS, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-15",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A",
        "authorized_official_last_name": "AL-KHUDARI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-9393",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009744",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036103747",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVOCATE HLTH PARTNERS ID",
            "identifier": "120602",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER ID",
            "identifier": "0001633597",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEFINITY CLEARING HOUSE",
            "identifier": "B0830165",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US DEPT OF LABOR",
            "identifier": "125181500",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ophthalmology Physician in Oak Lawn, IL
• Providers in Oak Lawn, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.