Active NPI
E&G Eye Care PLLC
- Optometrist
- River Grove, IL
National Provider Identifier
1760048995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- E&G EYE CARE PLLC
- Practice address
- 8362 Grand Ave
River Grove, IL 60171-1435 - Phone
- (847) 409-2158
- NPI assigned
- May 13, 2019
- 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
- Dr. Eva Shabo, OD
- Title
- Owner/Optometrist
- Phone
- (847) 409-2158
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
8362 Grand Ave
River Grove, IL 60171-1435
Mailing address
2951 N Talman Ave Apt 3F
Chicago, IL 60618-7837
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190711000540 | IL | Part B Supplier - Clinic/Group Practice | 3870828924 |
Receives reassigned benefits from 2 practitioners Practice locations: River Grove, IL |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1557705600000",
"number": "1760048995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2951 N TALMAN AVE APT 3F",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606187837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8362 GRAND AVE",
"city": "RIVER GROVE",
"state": "IL",
"postal_code": "601711435",
"telephone_number": "847-409-2158"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "E&G EYE CARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A",
"authorized_official_last_name": "SHABO",
"authorized_official_first_name": "EVA",
"authorized_official_title_or_position": "OWNER/OPTOMETRIST",
"authorized_official_telephone_number": "847-409-2158",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in River Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.