Organization Active NPI

Chicago Eye Institute, PLLC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1780723403
Registry record updated Apr 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
CHICAGO EYE INSTITUTE, PLLC
Practice address
5086 N Elston Ave
Chicago, IL 60630-2427
Phone
(773) 282-2000
Fax
(773) 282-9428
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2021

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

Authorized official

Name
Ms. Michelle T Verest
Title
Insurance Supervisor
Phone
(773) 282-2000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5086 N Elston Ave
Chicago, IL 60630-2427

Mailing address

5086 N Elston Ave
Chicago, IL 60630-2427
Phone (773) 282-2000

Other practice location 1

1525 E 53rd St Ste 1002
Chicago, IL 60615-4572
Phone (773) 288-2020

Other identifiers 1

IdentifierTypeStateIssuer
695254OtherILPTAN

Other names 1

  • Chicago Eye Institute Doing business as

National Provider Directory

National Provider Directory

Locations

836 W Wellington Ave
Ste 7405
Chicago, IL 60657
Phone (773) 296-7704

5525 S Pulaski Rd
Ste 300
Chicago, IL 60629

5086 N Elston Ave
Chicago, IL 60630
Phone (773) 282-2000

3982 N Milwaukee Ave
Chicago, IL 60641
Phone (773) 282-2000

4104 S Archer Ave
Chicago, IL 60632
Phone (773) 254-8899

1431 N Western Ave
Ste 410
Chicago, IL 60622

5525 S Pulaski Rd
Ste 2-300
Chicago, IL 60629
Phone (773) 585-9200

Practitioners & affiliated clinicians

Practitioners 6

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": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1780723403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5086 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302427",
            "telephone_number": "773-282-2000",
            "fax_number": "773-282-9428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5086 N ELSTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606302427",
            "telephone_number": "773-282-2000",
            "fax_number": "773-282-9428"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 E 53rd St Ste 1002",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606154572",
            "country_code": "US",
            "telephone_number": "773-288-2020",
            "fax_number": "773-324-3704",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CHICAGO EYE INSTITUTE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2021-04-22",
        "certification_date": "2021-04-22",
        "status": "A",
        "authorized_official_last_name": "VEREST",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "INSURANCE SUPERVISOR",
        "authorized_official_telephone_number": "773-282-2000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "695254",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Eye Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.