Cermak Optical, Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

28154982 Issued in IL

Legal business name

CERMAK OPTICAL, INC

Practice address

7120 Cermak Rd
Berwyn, IL 60402-2153

Phone

(708) 788-2400

Fax

(708) 788-3472

NPI assigned

Nov 1, 2006

Last updated

Aug 22, 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

Ronald S Weiss, MDNPI 1912910019

Title

President

Phone

(708) 788-2400

Specialties & licenses 1

Addresses

Practitioners 3

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.

• Ronald S Weiss, M.D.

  • Ophthalmology Physician
  • Stickney, IL
  • NPI 1912910019
  NPD (past) Authorized official
• Raymond H Nootens, M.D.

  • Ophthalmology Physician
  • Stickney, IL
  • NPI 1689687790
  NPD (past)
• Kourous A Rezaei, MD

  • Retina Specialist (Ophthalmology) Physician
  • Harvey, IL
  • NPI 1366428070
  NPD (past)

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821175498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022153",
            "telephone_number": "708-788-2400",
            "fax_number": "708-788-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7120 CERMAK RD",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022153",
            "telephone_number": "708-788-2400",
            "fax_number": "708-788-3472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CERMAK OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEISS",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-788-2400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "28154982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanna Ceballos
• Central Foundations
• Cepamerica Illinois LLP
• Anthony Cerda
• Cermak Children's Clinic, S.C.
• Bianca Cervantes, LCPC
• Hilda Cervantes
• Ron J Chacko, MD
• Pablo E Chagoya, M.D.
• Bobby Chan, M.D.

• Eyewear Supplier in Berwyn, IL
• Providers in Berwyn, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.