Active NPI
Oswego Vision, LTD
- Optometrist
- Oswego, IL
National Provider Identifier
1740203850
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008044
- Legal business name
- OSWEGO VISION, LTD
- Practice address
- 83 Templeton Dr
Suite F
Oswego, IL 60543-7019 - Phone
- (630) 554-8002
- Fax
- (630) 554-8095
- NPI assigned
- Jul 26, 2006
- Last updated
- Jan 23, 2009
- 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
- Alan E. Hein, OD
- Title
- Owner
- Phone
- (630) 554-8002
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008044 | IL | Primary |
Addresses
Primary practice location
83 Templeton Dr
Suite F
Oswego, IL 60543-7019
Mailing address
83 Templeton Dr
Suite F
Oswego, IL 60543-7019
Phone (630) 554-8002
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4721437 | Other | IL | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D2324735 | Oswego Vision, LTD | Certificate of waiver | May 29, 2027 |
National Provider Directory
National Provider DirectoryLocations
83 Templeton Dr
Oswego, IL 60543
Practitioners & affiliated clinicians
Practitioners 6
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.
-
- Optometrist
- Oswego, IL
- NPI 1629749932
-
- Optometrist
- Oswego, IL
- NPI 1396123386
-
- Optometrist
- Oswego, IL
- NPI 1376958322
-
- Optometrist
- Aurora, IL
- NPI 1841204013
-
- Optometrist
- St Charles, IL
- NPI 1043234263
-
- Optometrist
- Redondo Beach, CA
- NPI 1508017922
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1232668800000",
"number": "1740203850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "83 TEMPLETON DR",
"address_2": "SUITE F",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437019",
"telephone_number": "630-554-8002",
"fax_number": "630-554-8095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "83 TEMPLETON DR",
"address_2": "SUITE F",
"city": "OSWEGO",
"state": "IL",
"postal_code": "605437019",
"telephone_number": "630-554-8002",
"fax_number": "630-554-8095"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OSWEGO VISION, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-26",
"last_updated": "2009-01-23",
"status": "A",
"authorized_official_last_name": "HEIN",
"authorized_official_first_name": "ALAN",
"authorized_official_middle_name": "E.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-554-8002",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046008044",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "4721437",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2009; 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.