Evanston Eye Wellness Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009750 Issued in IL

Legal business name

EVANSTON EYE WELLNESS INC.

Practice address

716 Main St
Evanston, IL 60202-1816

Phone

(847) 350-7952

Fax

(847) 929-9764

NPI assigned

Sep 23, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Deana Labrosse, O.D.

Title

President

Phone

(847) 350-7952

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Himanee Patel, OD

  • Optometrist
  • Chicago, IL
  • NPI 1558006056
  NPD (past)
• Jacob Schumacher

  • Optometrist
  • Evanston, IL
  • NPI 1366275455
  NPD (past)

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452211200000",
    "number": "1801265657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021816",
            "telephone_number": "847-350-7952",
            "fax_number": "847-929-9764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021816",
            "telephone_number": "847-350-7952",
            "fax_number": "847-929-9764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVANSTON EYE WELLNESS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2016-01-08",
        "status": "A",
        "authorized_official_last_name": "LABROSSE",
        "authorized_official_first_name": "DEANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-350-7952",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009750",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Evanston Carenow Homecare, LLC
• Evanston CC School Dist 65
• Evanston Counseling, PLLC
• Evanston Dental Associates LTD.
• Evanston Dental PLLC
• Evanston Family Chiropractic and Wellness Center, S.C.
• Evanston Foot & Ankle Clinic
• Evanston Hospital Dental Center
• Evanston Integrative Chiropractic Center
• Evanston Northwestern Hospital

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.