Active NPI
Viking Eyecare LLC
Doing business as Pearle Vision
- Optometrist
- Geneva, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046009196
- Legal business name
- VIKING EYECARE LLC
- Doing business as
- Pearle Vision
- Practice address
- 1749 S Randall Rd Ste F
Geneva, IL 60134-4616 - Phone
- (630) 845-9110
- Fax
- (630) 845-9118
- NPI assigned
- May 5, 2008
- Last updated
- Apr 2, 2009
- 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. Michael T Tweed, OD
- Title
- Optometrist
- Phone
- (630) 845-9110
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046009196 | IL | Primary |
Addresses
Primary practice location
1749 S Randall Rd Ste F
Geneva, IL 60134-4616
Mailing address
1749 S Randall Rd Ste F
Geneva, IL 60134-4616
Phone (630) 845-9110
Other names 1
- Pearle Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1749 S Randall Rd
Geneva, IL 60134
1749 S Randall Rd
Ste F
Geneva, IL 60134
Phone (630) 845-9110
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Geneva, IL
- NPI 1154456671
-
- Optometrist
- Geneva, IL
- NPI 1467628180
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1238630400000",
"number": "1861668345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1749 S RANDALL RD STE F",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344616",
"telephone_number": "630-845-9110",
"fax_number": "630-845-9118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1749 S RANDALL RD STE F",
"city": "GENEVA",
"state": "IL",
"postal_code": "601344616",
"telephone_number": "630-845-9110",
"fax_number": "630-845-9118"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VIKING EYECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-05",
"last_updated": "2009-04-02",
"status": "A",
"authorized_official_last_name": "TWEED",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "630-845-9110",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "OD"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046009196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Pearle Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Geneva, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2009; 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.