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

Organization subpart

No

Name

Ronald S Weiss, MDNPI 1912910019

Title

President

Phone

(708) 788-2400

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

• 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, last updated by the provider on Aug 22, 2020.

{
    "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.

• All providers in Berwyn, IL
• 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.