Midwest Eye Center
Organization Active NPI Ophthalmology Physician · Calumet City, IL
NPI 1790746428 · NPPES record last updated Feb 5, 2020
Key facts
- NPI
- 1790746428
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Ophthalmology Physician 207W00000X
- Legal business name
- MIDWEST EYE CENTER
- Practice address
- 1700 E West Rd
Calumet City, IL 60409-5415 - Phone
- (708) 891-3330
- Fax
- (708) 891-0904
- NPI assigned
- Mar 31, 2006
- Organization subpart
- No
Authorized official
- Name
- George L Neal
- Title
- Chief Executive Officer
- Phone
- (469) 214-0144
Practitioners 21
-
Tala Al-Khaled, MD
-
Laura Calma, OD
-
Jeanie C Lucy, OD
-
Robert Pearlman, MD
-
Ashley Rohr, M.D.
-
Vikrant Donthamsetti, D.O
-
Wendewessen Amde, M.D.
-
Amit Bhambri, O.D.
-
Naz Fatima Rizvi, O.D.
-
David J Casper, OD
-
Raj Kamal Goyal, M.D., M.P.H.
-
Balaji Gupta, MD
-
Nisha B Jani-Konduri, O.D.
-
Marc R Levin, M.D.
-
Prakash Selvaraj, M.D.
-
Michael Manuel Alvarez, O.D.
Medicare Care Compare: Ambulatory surgical center
- Listed as
- Midwest Eye Center
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040602000553 | IL | Part B Supplier - Clinic/Group Practice | 3375525645 |
Receives reassigned benefits from 14 practitioners Practice locations: Calumet City, IL; Chicago, IL |
National Provider Directory
Locations
19 Heritage Dr
#103
Bourbonnais, IL 60914
Phone (815) 933-3814
870 N Convent St
#A
Bourbonnais, IL 60914
Phone (815) 939-3528
1700 E West Rd
Calumet City, IL 60409
Phone (708) 891-3330
2315 E 93rd St
Ste 400
Chicago, IL 60617
Phone (773) 374-1114
19900 Governors Dr
Olympia Fields, IL 60461
Phone (708) 329-8871
8600 W 159th St
Ste 15
Orland Park, IL 60462
Phone (708) 403-1400
18425 West Creek Dr
Tinley Park, IL 60477
Phone (708) 532-1137
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist |
152W00000X | |||
| Ophthalmology Physician |
207W00000X | Yes | ||
| Ambulatory Surgical Clinic/Center | 261QA1903X |
Addresses
Primary practice location
1700 E West Rd
Calumet City, IL 60409-5415
Mailing address
1700 E West Rd
Calumet City, IL 60409-5415
Phone (708) 891-3330
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141037 | Other | IL | MEDICARE FACILITY |
| CN5008 | Other | IL | RAILROAD MEDICARE |
| 7001399 | Medicaid | IL |
Other names
- Midwest Eye Center, S.C.
Other providers in Calumet City, IL
- Sharon N. McNeal
- Jeffrey McNeil
- Meckler Dental Providers (River Oaks), LTD.
- Midway Pain Center, LLC
- Midwest Eye Center
- Midwest Medical Transportation Services, Inc
- Alexis Michele Miller
- Mind, Body & Soul Chiropractic Center, Inc.
- Michella T Mitchell
- Mobile Vision Providers, Inc.
All providers in Calumet City, IL · Ophthalmology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.