Forzley Eye Clinic LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

FORZLEY EYE CLINIC LTD

Practice address

1192 Walter St
Suite a
Lemont, IL 60439-2905

Phone

(630) 243-2020

Fax

(630) 243-1100

NPI assigned

Aug 9, 2006

Organization subpart

No

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

Authorized official

Name

Samuel Joseph Forzley

Title

Owner Optometrist

Phone

(630) 243-2020

Specialties & licenses 1

Addresses

Other identifiers 3

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197504000000",
    "number": "1851301006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1192 WALTER ST",
            "address_2": "SUITE A",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392905",
            "telephone_number": "630-243-2020",
            "fax_number": "630-243-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1192 WALTER ST",
            "address_2": "SUITE A",
            "city": "LEMONT",
            "state": "IL",
            "postal_code": "604392905",
            "telephone_number": "630-243-2020",
            "fax_number": "630-243-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORZLEY EYE CLINIC LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-12-13",
        "status": "A",
        "authorized_official_last_name": "FORZLEY",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "OWNER OPTOMETRIST",
        "authorized_official_telephone_number": "630-243-2020"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD IL",
            "identifier": "0001621941",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC REGION B",
            "identifier": "1207690001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "410042845",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley F Fiedler
• Timothy F Filippini, DC
• Finding Balance LTD.
• Andrea Fiore
• Alice Fitzgerald, LCPC
• Jeffrey Edward Forzley, D.C.
• Samuel Joseph Forzley, O.D.
• Franciscan Communities Inc. II
• Franciscan Communities, Inc
• Fresenius Medical Care Lemont, LLC

• All providers in Lemont, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.