Downers Grove Eye Center, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008708 Issued in IL

Legal business name

DOWNERS GROVE EYE CENTER, PC

Practice address

4958 Forest Ave
Downers Grove, IL 60515-3508

Phone

(630) 737-1001

Fax

(630) 737-1003

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Donald Macek, ODNPI 1376550061

Title

President

Phone

(630) 737-1001

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Glen Ellyn Ophthalmology Associates, LTD.

  • Ophthalmology Physician
  • Glen Ellyn, IL
  • NPI 1316065881

  O20040205000537

  Same enrollment

Locations

Practitioners 6

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

• Michael D Macek, OD

  • Optometrist
  • Downers Grove, IL
  • NPI 1376550061
  Medicare reassignment Care Compare group NPD Authorized official
• Kimberly Jean Estes, MD

  • Ophthalmology Physician
  • Downers Grove, IL
  • NPI 1386038719
  Medicare reassignment Care Compare group NPD
• Patricia M. Moser, O.D.

  • Optometrist
  • Downers Grove, IL
  • NPI 1376603746
  Medicare reassignment Care Compare group NPD
• Sophia Sarkos, MD

  • Ophthalmology Physician
  • Downers Grove, IL
  • NPI 1720017643
  Medicare reassignment Care Compare group NPD
• Rasha I. Ali, MD

  • Ophthalmology Physician
  • Bloomingdale, IL
  • NPI 1619179512
  Care Compare group
• Bruce Larson, MD

  • Ophthalmology Physician
  • Hinsdale, IL
  • NPI 1932176773
  NPD (past)

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461024000000",
    "number": "1801997655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153508",
            "telephone_number": "630-737-1001",
            "fax_number": "630-737-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 FOREST AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605153508",
            "telephone_number": "630-737-1001",
            "fax_number": "630-737-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOWNERS GROVE EYE CENTER, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2016-04-19",
        "status": "A",
        "authorized_official_last_name": "MACEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-737-1001",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2234272",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI AS EMPLOYE",
            "identifier": "1376550061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1801997655",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Edward Doris, M.D.
• Rutvi Doshi, O.D.
• Kelly Sue Dow, DPT
• Downers Grove Behavioral Health Associates, L.L.C.
• Downers Grove Counseling and Wellness PLLC
• Downers Grove Family Practice,P.C.
• Downers Grove Geriatrics LLC
• Downers Grove Geriatrics, LLC
• Downers Grove Grde SCH Dist 58
• Downers Grove Immediate Care Inc.

• Optometrist in Downers Grove, IL
• Providers in Downers Grove, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.