Midwest Eye Center

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

MIDWEST EYE CENTER

Doing business as

Midwest Eye Center, S.C.

Practice address

1700 E West Rd
Calumet City, IL 60409-5415

Phone

(708) 891-3330

Fax

(708) 891-0904

NPI assigned

Mar 31, 2006

Last updated

Feb 5, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

George L Neal

Title

Chief Executive Officer

Phone

(469) 214-0144

Specialties & licenses 3

Addresses

Other identifiers 3

Other names 1

• Midwest Eye Center, S.C. Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Listed as

Midwest Eye CenterCCN 14C0001037

Medicare certification status

ActiveFrom the Provider of Services file

Locations

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Tala Al-Khaled, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1528697745
  Medicare reassignment Care Compare group NPD
• Laura Calma, OD

  • Optometrist
  • Downers Grove, IL
  • NPI 1861129108
  Medicare reassignment Care Compare group NPD
• Jeanie C Lucy, OD

  • Optometrist
  • Downers Grove, IL
  • NPI 1578610465
  Medicare reassignment Care Compare group NPD
• Natalka A Manastersky, OD

  • Optometrist
  • Calumet City, IL
  • NPI 1629206628
  Medicare reassignment Care Compare group NPD
• Robert Pearlman, MD

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1124088091
  Medicare reassignment Care Compare group NPD
• Ashley Rohr, M.D.

  • Ophthalmology Physician
  • Calumet City, IL
  • NPI 1629364708
  Medicare reassignment Care Compare group NPD
• Vikrant Donthamsetti, D.O

  • Ophthalmology Physician
  • Warwick, RI
  • NPI 1871895110

  IL

  Medicare reassignment Care Compare group NPD
• Abhishek Manjunathan, MD

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1780211698

  IL

  Medicare reassignment Care Compare group NPD
• Wendewessen Amde, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1386837474
  Medicare reassignment NPD
• Raneem Rajjoub

  • Ophthalmology Physician
  • Sycamore, IL
  • NPI 1205363710
  Medicare reassignment NPD
• Claire Tobias Rocken, OD

  • Optometrist
  • Stickney, IL
  • NPI 1750950101
  Medicare reassignment NPD
• Janki Dinesh Chandravadia, OD

  • Optometrist
  • Tallahassee, FL
  • NPI 1154094704

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580860800000",
    "number": "1790746428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E WEST RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095415",
            "telephone_number": "708-891-3330",
            "fax_number": "708-891-0904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E WEST RD",
            "city": "CALUMET CITY",
            "state": "IL",
            "postal_code": "604095415",
            "telephone_number": "708-891-3330",
            "fax_number": "708-891-0904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST EYE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FACILITY",
            "identifier": "141037",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CN5008",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7001399",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Eye Center, S.C.",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Midwest Eye Center, S.C.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sharon N. McNeal, REGISTERED NURSE
• Jeffrey McNeil
• Meckler Dental Providers (River Oaks), LTD. (DentalWorks of River Oaks)
• Midway Pain Center, LLC
• Midwest Eye Center
• Midwest Medical Transportation Services, Inc
• Alexis Michele Miller, ED.S.
• Mind, Body & Soul Chiropractic Center, Inc.
• Michella T Mitchell
• Mobile Vision Providers, Inc.

• Ophthalmology Physician in Calumet City, IL
• Providers in Calumet City, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.