Carillon Vision Care

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0718540001 Issued in IL

Legal business name

CARILLON VISION CARE

Practice address

1900 Waukegan Rd
Glenview, IL 60025-1714

Phone

(847) 657-8787

Fax

(847) 657-8730

NPI assigned

Mar 22, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Jerome Agrest, OD

Title

Partner Owner

Phone

(847) 657-8787

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew Joseph Neukirch, OD

  • Optometrist
  • Glenview, IL
  • NPI 1962666750
  NPD (past)

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

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238025600000",
    "number": "1750407326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 WAUKEGAN ROAD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251714",
            "telephone_number": "847-657-8787",
            "fax_number": "847-657-8730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600251714",
            "telephone_number": "847-657-8787",
            "fax_number": "847-657-8730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARILLON VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2009-03-26",
        "status": "A",
        "authorized_official_last_name": "AGREST",
        "authorized_official_first_name": "JEROME",
        "authorized_official_title_or_position": "PARTNER OWNER",
        "authorized_official_telephone_number": "847-657-8787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "464927",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "467979",
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "0718540001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Eyewear Supplier in Glenview, IL
• Providers in Glenview, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.