Organization Active NPI

Toni a. Reising O.D., LTD

  • Optometrist
  • Brookfield, IL
National Provider Identifier
1851985121
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
TONI A. REISING O.D., LTD
Practice address
8826 Ogden Ave
Brookfield, IL 60513-2100
Phone
(708) 485-0411
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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

Authorized official

Name
Toni Ann ReisingNPI 1548422686
Title
Owner
Phone
(708) 485-0411

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

8826 Ogden Ave
Brookfield, IL 60513-2100

Mailing address

8826 Ogden Ave
Brookfield, IL 60513-2100

Other names 1

  • Brookfield Eye Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210421000890 IL Part B Supplier - Clinic/Group Practice 4789783275 Receives reassigned benefits from 1 practitioner
Practice locations: Brookfield, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614297600000",
    "number": "1851985121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8826 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8826 OGDEN AVE",
            "city": "BROOKFIELD",
            "state": "IL",
            "postal_code": "605132100",
            "telephone_number": "708-485-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TONI A. REISING O.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A",
        "authorized_official_last_name": "REISING",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-485-0411"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brookfield Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brookfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.