Organization Active NPI

Metropolitan Eyecare

  • Optometrist
  • Matteson, IL
National Provider Identifier
1780703587
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
METROPOLITAN EYECARE
Practice address
260 Lincoln Mall Dr
Matteson, IL 60443-2329
Phone
(708) 747-4800
Fax
(708) 747-8770
NPI assigned
Mar 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Laurie Collett, ODNPI 1093702300
Title
Owner
Phone
(708) 747-4800

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

260 Lincoln Mall Dr
Matteson, IL 60443-2329

Mailing address

260 Lincoln Mall Dr
Matteson, IL 60443-2329
Phone (708) 747-4800

National Provider Directory

National Provider Directory

Locations

260 Lincoln Mall Dr
Matteson, IL 60443
Phone (708) 747-4800

Practitioners & affiliated clinicians

Practitioners 1

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": "1175126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780703587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LINCOLN MALL DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432329",
            "telephone_number": "708-747-4800",
            "fax_number": "708-747-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LINCOLN MALL DR",
            "city": "MATTESON",
            "state": "IL",
            "postal_code": "604432329",
            "telephone_number": "708-747-4800",
            "fax_number": "708-747-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METROPOLITAN EYECARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLLETT",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-747-4800",
        "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 Matteson, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.