NPIMap

Organization Active NPI

Harry a. Bernstein M.D., LTD.

Doing business as Elgin Eye Clinic

  • Ophthalmology Physician
  • Elgin, IL
National Provider Identifier
1750302105
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036072606 Issued in IL
Legal business name
HARRY A. BERNSTEIN M.D., LTD.
Doing business as
Elgin Eye Clinic
Practice address
2521 Technology Dr
Suite 202
Elgin, IL 60124
Phone
(847) 836-1122
Fax
(847) 836-1121
NPI assigned
Jul 21, 2006
Last updated
Mar 12, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Authorized official

Name
Dr. Harry A. Bernstein, M.D.NPI 1598790438
Title
President
Phone
(847) 836-1122

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036072606 IL Primary

Addresses

Primary practice location

2521 Technology Dr
Suite 202
Elgin, IL 60124

Mailing address

2521 Technology Dr
Suite 202
Elgin, IL 60124
Phone (847) 836-1122

Other identifiers 1

IdentifierTypeStateIssuer
036072606MedicaidIL

Other names 1

  • Elgin Eye Clinic Doing business as

National Provider Directory

National Provider Directory

Locations

2521 Technology Dr
Ste 202
Elgin, IL 60124
Phone (847) 836-1122

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236816000000",
    "number": "1750302105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2521 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60124",
            "telephone_number": "847-836-1122",
            "fax_number": "847-836-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 TECHNOLOGY DR",
            "address_2": "SUITE 202",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "60124",
            "telephone_number": "847-836-1122",
            "fax_number": "847-836-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARRY A. BERNSTEIN M.D., LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2009-03-12",
        "status": "A",
        "authorized_official_last_name": "BERNSTEIN",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-836-1122",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036072606",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036072606",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elgin Eye Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Elgin, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.