Naperville Vision Center, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

IL-046008982 Issued in IL

Legal business name

NAPERVILLE VISION CENTER, LTD

Doing business as

Vision Care Group, Naperville Vision Care, Plainfield Vision Care

Practice address

1783 S Washington St
Suite 111
Naperville, IL 60565-2462

Phone

(630) 961-5255

Fax

(630) 961-0335

NPI assigned

Aug 22, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Timothy David Boots, O.D.NPI 1154494169

Title

President

Phone

(630) 961-5255

Specialties & licenses 1

Addresses

Other names 1

• Vision Care Group, Naperville Vision Care, Plainfield Vision Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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 D. Boots, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1154494169
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1250899200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1250899200000",
    "number": "1841422938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 S WASHINGTON ST",
            "address_2": "SUITE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652462",
            "telephone_number": "630-961-5255",
            "fax_number": "630-961-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1783 S WASHINGTON ST",
            "address_2": "SUITE 111",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605652462",
            "telephone_number": "630-961-5255",
            "fax_number": "630-961-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE VISION CENTER, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-22",
        "last_updated": "2009-08-22",
        "status": "A",
        "authorized_official_last_name": "BOOTS",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-961-5255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL-046008982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vision Care Group, Naperville Vision Care, Plainfield Vision Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optometrist in Naperville, IL
• Providers in Naperville, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2009; 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.