Organization Active NPI

Lorenzana, SC

  • Primary Care Clinic/Center
  • South Barrington, IL
National Provider Identifier
1780862540
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
046008743 Issued in IL
Legal business name
LORENZANA, SC
Practice address
2 Executive CT Ste 3
South Barrington, IL 60010-9507
Phone
(847) 891-8003
Fax
(847) 891-8045
NPI assigned
Feb 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Authorized official

Name
Dr. Ingryd Lorenzana, OD
Title
President
Phone
(630) 837-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 046008743 IL Primary

Addresses

Primary practice location

2 Executive CT Ste 3
South Barrington, IL 60010-9507

Mailing address

19 E Schaumburg Rd
Schaumburg, IL 60194-3503
Phone (847) 891-8003

Other identifiers 1

IdentifierTypeStateIssuer
046008743MedicaidIL

Other names 1

  • Advanced Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

19 E Schaumburg Rd
Fl 1
Schaumburg, IL 60194
Phone (847) 891-8003

2 Executive Ct
Ste 3
South Barrington, IL 60010
Phone (847) 304-0303

1018 S Barrington Rd
Streamwood, IL 60107
Phone (630) 837-3939

NPI Registry JSON

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

{
    "created_epoch": "1202083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673913600000",
    "number": "1780862540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 E SCHAUMBURG RD",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601943503",
            "telephone_number": "847-891-8003",
            "fax_number": "847-891-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 EXECUTIVE CT STE 3",
            "city": "SOUTH BARRINGTON",
            "state": "IL",
            "postal_code": "600109507",
            "telephone_number": "847-891-8003",
            "fax_number": "847-891-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORENZANA, SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-04",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A",
        "authorized_official_last_name": "LORENZANA",
        "authorized_official_first_name": "INGRYD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-837-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IL",
            "license": "046008743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008743",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vision Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advanced Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in South Barrington, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2023; 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.