Center for Vitreo Retinal Diseases

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036058218 Issued in IL

Legal business name

CENTER FOR VITREO RETINAL DISEASES

Doing business as

Ira Garoon, M.D.

Practice address

9301 Golf Rd
Suite 102
Des Plaines, IL 60016-1667

Phone

(847) 294-0080

Fax

(847) 294-0193

NPI assigned

Apr 17, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Ira Garoon, M.D.NPI 1609994441

Title

President

Phone

(847) 294-0080

Specialties & licenses 1

Addresses

Other names 1

• Ira Garoon, M.D. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 2

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.

• Ira Garoon, M.D.

  • Ophthalmology Physician
  • Des Plaines, IL
  • NPI 1609994441
  Medicare reassignment Care Compare group Authorized official
• Robert Garoon, M.D.

  • Retina Specialist (Ophthalmology) Physician
  • Des Plaines, IL
  • NPI 1013275478
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628208000000",
    "number": "1750507042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 102",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-294-0080",
            "fax_number": "847-294-0193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 GOLF RD",
            "address_2": "SUITE 102",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600161667",
            "telephone_number": "847-294-0080",
            "fax_number": "847-294-0193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR VITREO RETINAL DISEASES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A",
        "authorized_official_last_name": "GAROON",
        "authorized_official_first_name": "IRA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-294-0080",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036058218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ira Garoon, M.D.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Cave
• Kathryn D Cavitt I, CFNP
• CBB Counseling, PLLC
• Celebrity Anesthesia of Illinois LLC
• Center for Comprehensive Services, Inc. (NeuroRestorative Illinois)
• Central Care Inc.
• Lena Ceranski
• Maira Cervantes, RBT
• Maureen C Cesarotti, RPH
• Nicole Cetnar

• Ophthalmology Physician in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; 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.