Organization Active NPI

Irish Eyes LLC

  • Eyewear Supplier
  • Glen Ellyn, IL
National Provider Identifier
1851587216
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
046-008415 Issued in IL
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

Updated by the provider on Aug 25, 2015

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.