Mt. Prospect Vision Center Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007781 Issued in IL

Legal business name

MT. PROSPECT VISION CENTER INC

Practice address

1962 Dempster St
Evanston, IL 60202-1016

Phone

(847) 475-3937

Fax

(847) 475-9572

NPI assigned

May 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Frank E Rubin, ODNPI 1083788335

Title

Owner/Operator

Phone

(847) 475-3937

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Evanston Eyes Doing business as

Locations

Practitioners 1

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

• Frank E Rubin, O.D.

  • Optometrist
  • Evanston, IL
  • NPI 1083788335
  NPD (past) Authorized official

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

{
    "created_epoch": "1209686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209686400000",
    "number": "1861668550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1962 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "847-475-3937",
            "fax_number": "847-475-9572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1962 DEMPSTER ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021016",
            "telephone_number": "847-475-3937",
            "fax_number": "847-475-9572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. PROSPECT VISION CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-02",
        "last_updated": "2008-05-02",
        "status": "A",
        "authorized_official_last_name": "RUBIN",
        "authorized_official_first_name": "FRANK",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "847-475-3937",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007781",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS /BLUE SHEILD",
            "identifier": "0001632664",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046007781",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Evanston Eyes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mariam R Mourad, PH.D.
• Move to Help Foundation
• Michael Moy, D.C.
• Mpower Wellness LLC
• Jana Mroczek, REGISTERED NURSE
• Elizabeth J Muckley, LCPC, RDT-BCT
• Peter Michael Mudd
• Muddworks, Inc.
• Andrea Mueller
• Jennifer Mueller, LCPC

• Optometrist in Evanston, IL
• Providers in Evanston, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.