Jerold F Silverman OD PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

0046-006248 Issued in IL

Legal business name

JEROLD F SILVERMAN OD PC

Practice address

4213 Main St
Skokie, IL 60076-2046

Phone

(847) 679-2020

NPI assigned

Mar 1, 2011

Last updated

Mar 31, 2011By 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

Mrs. Linda Silverman

Title

Secretary

Phone

(847) 679-2020

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1298937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301529600000",
    "number": "1851699862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4213 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762046",
            "telephone_number": "847-679-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4213 MAIN ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600762046",
            "telephone_number": "847-679-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEROLD F SILVERMAN OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-01",
        "last_updated": "2011-03-31",
        "status": "A",
        "authorized_official_last_name": "SILVERMAN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-679-2020",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0046-006248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2011; 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.