NPIMap

Organization Active NPI

Meridian Eyecare, P.C.

  • Optometrist
  • Oswego, IL
National Provider Identifier
1811239080
Registry record updated Mar 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MERIDIAN EYECARE, P.C.
Practice address
1500 Douglas Rd
Oswego, IL 60543-5108
Phone
(630) 730-4189
NPI assigned
Mar 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2013

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

Authorized official

Name
Dr. Jason Tung, O.D.NPI 1578727046
Title
President
Phone
(630) 730-4189

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1500 Douglas Rd
Oswego, IL 60543-5108

Mailing address

1500 Douglas Rd
Oswego, IL 60543-5108
Phone (630) 730-4189

National Provider Directory

National Provider Directory

Locations

1500 Douglas Rd
Oswego, IL 60543
Phone (630) 551-3490

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1364256000000",
    "number": "1811239080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435108",
            "telephone_number": "630-730-4189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DOUGLAS RD",
            "city": "OSWEGO",
            "state": "IL",
            "postal_code": "605435108",
            "telephone_number": "630-730-4189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERIDIAN EYECARE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-26",
        "last_updated": "2013-03-26",
        "status": "A",
        "authorized_official_last_name": "TUNG",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-730-4189",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oswego, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.