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

Organization subpart

No

Name

Mrs. Linda Silverman

Title

Secretary

Phone

(847) 679-2020

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 31, 2011.

{
    "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.