Organization Active NPI

Simpson Eye Physicians & Surgeons PLLC

  • Ophthalmology Physician
  • West Dundee, IL
National Provider Identifier
1821864760
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
SIMPSON EYE PHYSICIANS & SURGEONS PLLC
Practice address
650 Spring Hill Ring Rd Ste 2020
West Dundee, IL 60118-1297
Phone
(847) 426-0227
Fax
(847) 426-0299
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Dr. Michael Damaso De Guzman, DONPI 1003278862
Title
Owner
Phone
(847) 343-0175

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
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

650 Spring Hill Ring Rd Ste 2020
West Dundee, IL 60118-1297

Mailing address

650 Spring Hill Ring Rd Ste 2020
West Dundee, IL 60118-1297
Phone (847) 426-0227

Other practice location 1

11620 Algonquin Rd
Huntley, IL 60142-7175
Phone (847) 426-0227

Other practice location 2

730 E Terra Cotta Ave # B2
Crystal Lake, IL 60014-3615
Phone (847) 426-0227

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240214000917 IL Part B Supplier - Clinic/Group Practice 1153765508 Receives reassigned benefits from 6 practitioners
Practice locations: Huntley, IL; West Dundee, IL; Crystal Lake, IL

National Provider Directory

National Provider Directory

Locations

730 E Terra Cotta Ave
#B2
Crystal Lake, IL 60014
Phone (847) 426-0227

730 E Terra Cotta Ave
Ste B2
Crystal Lake, IL 60014
Phone (847) 426-0227

2550 W Algonquin Rd
Lk in the Hls, IL 60156
Phone (847) 458-1246

Practitioners & affiliated clinicians

Practitioners 6

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": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1821864760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 SPRING HILL RING RD STE 2020",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181297",
            "telephone_number": "847-426-0227",
            "fax_number": "847-426-0299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 SPRING HILL RING RD STE 2020",
            "city": "WEST DUNDEE",
            "state": "IL",
            "postal_code": "601181297",
            "telephone_number": "847-426-0227",
            "fax_number": "847-426-0299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11620 Algonquin Rd",
            "address_purpose": "LOCATION",
            "city": "Huntley",
            "state": "IL",
            "postal_code": "601427175",
            "country_code": "US",
            "telephone_number": "847-426-0227",
            "fax_number": "847-426-0227",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 E Terra Cotta Ave # B2",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600143615",
            "country_code": "US",
            "telephone_number": "847-426-0227",
            "fax_number": "847-426-0227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPSON EYE PHYSICIANS & SURGEONS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "DE GUZMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "DAMASO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-343-0175",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Dundee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2023; 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.