Active NPI
Irish Eyes LLC
- Eyewear Supplier
- Glen Ellyn, IL
National Provider Identifier
1851587216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- License
- 046-008415
- Legal business name
- IRISH EYES LLC
- Practice address
- 489 Taft Ave
Suite 100
Glen Ellyn, IL 60137-8209 - Phone
- (630) 790-1300
- Fax
- (630) 790-1378
- NPI assigned
- Sep 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. James Michael Kelly, OD
- Title
- Owner
- Phone
- (630) 790-1300
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | 046-008415 | IL | Primary |
Addresses
Primary practice location
489 Taft Ave
Suite 100
Glen Ellyn, IL 60137-8209
Mailing address
489 Taft Ave
Suite 100
Glen Ellyn, IL 60137-8209
Phone (630) 790-1300
Other names 1
- DuPage Family Eyecare
National Provider Directory
National Provider DirectoryLocations
489 Taft Ave
Ste 100
Glen Ellyn, IL 60137
Phone (630) 790-1300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1440460800000",
"number": "1851587216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "489 TAFT AVE",
"address_2": "SUITE 100",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601378209",
"telephone_number": "630-790-1300",
"fax_number": "630-790-1378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 TAFT AVE",
"address_2": "SUITE 100",
"city": "GLEN ELLYN",
"state": "IL",
"postal_code": "601378209",
"telephone_number": "630-790-1300",
"fax_number": "630-790-1378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "IRISH EYES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-19",
"last_updated": "2015-08-25",
"status": "A",
"authorized_official_last_name": "KELLY",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-790-1300",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "IL",
"license": "046-008415",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "DuPage Family Eyecare",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Glen Ellyn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.