Edward L Montwill OD, LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.008324 Issued in IL

Legal business name

EDWARD L MONTWILL OD, LTD.

Doing business as

Palos Vision Center

Practice address

11749 Southwest Hwy # C
Palos Heights, IL 60463-1053

Phone

(708) 361-5236

Fax

(708) 361-5489

NPI assigned

Feb 9, 2012

Last updated

Feb 9, 2012By 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. Edward L Montwill, O.D.

Title

President

Phone

(708) 361-5236

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palos Vision Center Doing business as

Locations

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1841563681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11749 SOUTHWEST HWY # C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631053",
            "telephone_number": "708-361-5236",
            "fax_number": "708-361-5489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11749 SOUTHWEST HWY # C",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631053",
            "telephone_number": "708-361-5236",
            "fax_number": "708-361-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDWARD L MONTWILL OD, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "MONTWILL",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-361-5236",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "948820",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palos Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Robert J Dupuis, M.D.
• Megan C Dwyer, DO
• Mary E. Eannace, M.A.,CCC-SLP
• Ear Nose and Throat Associates S C
• William A. Earman Jr., D.O.
• Amanda M Ejka, PSY.D.
• Kristen El-Amir, PA-C
• Elevate Care Palos Heights LLC (Elevate Care Palos Heights)
• Elevate Care Palos Heights LLC (Elevate Care Palos Heights)
• Ahmed H Elgamal, M.D.

• Optometrist in Palos Heights, IL
• Providers in Palos Heights, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.