Progressive Eye Care SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

PROGRESSIVE EYE CARE SC

Practice address

3100 Ogden Ave
Lisle, IL 60532-1603

Phone

(630) 527-1920

Fax

(630) 527-0125

NPI assigned

Sep 22, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Patricia Louise Davis, M.D.NPI 1568457489

Title

Physician Owner

Phone

(630) 527-1920

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Patricia L. Davis, M.D.

  • Ophthalmology Physician
  • Lisle, IL
  • NPI 1568457489
  Medicare reassignment NPD Authorized official
• Indre Rudaitis, O.D.

  • Optometrist
  • Lisle, IL
  • NPI 1801930789
  Medicare reassignment

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192406400000",
    "number": "1811097728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321603",
            "telephone_number": "630-527-1920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 OGDEN AVE",
            "city": "LISLE",
            "state": "IL",
            "postal_code": "605321603",
            "telephone_number": "630-527-1920",
            "fax_number": "630-527-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROGRESSIVE EYE CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2007-10-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "PATRICIA",
        "authorized_official_middle_name": "LOUISE",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "630-527-1920",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "02222972",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Prairie Dental Partners LLC
• Prana Manual Therapy Inc.
• Premise Health of Illinois Medical PC
• Sarah L Presti, MSOTRL
• Primis Health Services Corporation
• Ashley M Przanowski
• Psychological Solutions Institute
• Jack Pusatera
• Quest Clinical Services, LTD.
• Brittany Nicole Rabe, MSW

• Ophthalmology Physician in Lisle, IL
• Providers in Lisle, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2007; 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.