Organization Active NPI

T&K O.D., LTD

  • Optometrist
  • Joliet, IL
National Provider Identifier
1831216951
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
T&K O.D., LTD
Practice address
301 Springfield Ave
Joliet, IL 60435-6590
Phone
(815) 744-3222
Fax
(815) 744-3519
NPI assigned
Mar 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Tauseef U Tahir, ODNPI 1710075304
Title
President Optometrist
Phone
(815) 744-3222

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: 193200000X MULTI-SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

301 Springfield Ave
Joliet, IL 60435-6590

Mailing address

301 Springfield Ave
Joliet, IL 60435-6590
Phone (815) 744-3222

Other identifiers 2

IdentifierTypeStateIssuer
1073601654OtherILNPI
1710075304OtherILNPI

Other names 1

  • Joliet EyeCare Associates Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050214000729 IL Part B Supplier - Clinic/Group Practice 5890747281 Receives reassigned benefits from 1 practitioner
Practice locations: Joliet, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831216951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356590",
            "telephone_number": "815-744-3222",
            "fax_number": "815-744-3519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 SPRINGFIELD AVE",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356590",
            "telephone_number": "815-744-3222",
            "fax_number": "815-744-3519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "T&K O.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TAHIR",
        "authorized_official_first_name": "TAUSEEF",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "PRESIDENT OPTOMETRIST",
        "authorized_official_telephone_number": "815-744-3222",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1073601654",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1710075304",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Joliet EyeCare Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Joliet, IL

Sources for this page

  • 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.
  • 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.