Advanced Eye Care SC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036097974 Issued in IL

Legal business name

ADVANCED EYE CARE SC

Practice address

1870 Silver Cross Blvd
Suite 110
New Lenox, IL 60451-8639

Phone

(815) 485-2727

Fax

(815) 485-3034

NPI assigned

Apr 20, 2006

Last updated

Mar 19, 2024By 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

Dr. Timothy A Kisla, DONPI 1477557445

Title

Owner

Phone

(815) 485-2727

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 9

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.

• Timothy A Kisla, DO

  • Ophthalmology Physician
  • New Lenox, IL
  • NPI 1477557445
  Medicare reassignment Care Compare group NPD Authorized official
• Melissa Kay Bollinger, O.D.

  • Optometrist
  • New Lenox, IL
  • NPI 1578640215
  Medicare reassignment Care Compare group NPD
• Emmet Michael Cassidy, MD

  • Ophthalmology Physician
  • Homewood, IL
  • NPI 1770544462
  Medicare reassignment Care Compare group NPD
• Donald D Loconte, OD

  • Optometrist
  • New Lenox, IL
  • NPI 1003924945
  Medicare reassignment Care Compare group NPD
• Catherine C Sajn, OD

  • Optometrist
  • New Lenox, IL
  • NPI 1679706311
  Medicare reassignment Care Compare group NPD
• Dylan Stevens, MD

  • Ophthalmology Physician
  • New Lenox, IL
  • NPI 1316442114
  Medicare reassignment Care Compare group NPD
• Patricia L. Davis, M.D.

  • Ophthalmology Physician
  • Lisle, IL
  • NPI 1568457489
  Medicare reassignment NPD
• Neha Chaudhary Gulati, OD

  • Optometrist
  • New Lenox, IL
  • NPI 1023245412
  Medicare reassignment NPD
• Veeral Sheth, M.D.

  • Ophthalmology Physician
  • Oak Forest, IL
  • NPI 1881806784
  Medicare reassignment NPD

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1831154947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1870 SILVER CROSS BLVD",
            "address_2": "SUITE 110",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604511871",
            "telephone_number": "815-485-2727",
            "fax_number": "815-485-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1870 SILVER CROSS BLVD",
            "address_2": "SUITE 110",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604518639",
            "telephone_number": "815-485-2727",
            "fax_number": "815-485-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15900 W 127th St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Lemont",
            "state": "IL",
            "postal_code": "604392912",
            "country_code": "US",
            "telephone_number": "815-485-2727",
            "fax_number": "815-485-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED EYE CARE SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-20",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "KISLA",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-485-2727",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036097974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yasmeen Mohammad Abu-Samra, CNM
• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Acura Medical Equipment & Supplies Inc
• Anese Linda Adams Collier
• Advanced Eye Care SC
• Advanced Midwest Interventional Radiology, LLC
• Advanced Midwest Radiology S C
• Advantage Speech Therapy Solutions, LLC
• Affinity Healthcare and Wellness PLLC
• Angela Agnich, CRNA

• Ophthalmology Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.