Ophthalmology Northwest, S.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-062534 Issued in IL

Legal business name

OPHTHALMOLOGY NORTHWEST, S.C.

Doing business as

Advanced Vision Specialists

Practice address

7447 W Talcott Ave
Suite 406
Chicago, IL 60631-3715

Phone

(773) 775-9755

Fax

(773) 775-4306

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

Dr. John B. Bello, M.D.NPI 1003813973

Title

Board Certified Ophthalmologist

Phone

(773) 775-9755

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Advanced Vision Specialists Doing business as

Practitioners 1

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

• John B Bello, M.D.

  • Ophthalmology Physician
  • Chicago, IL
  • NPI 1003813973
  NPD (past) Authorized official

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

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1871620609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313715",
            "telephone_number": "773-775-9755",
            "fax_number": "773-775-4306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "SUITE 406",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313715",
            "telephone_number": "773-775-9755",
            "fax_number": "773-775-4306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPHTHALMOLOGY NORTHWEST, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "BELLO",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "BOARD CERTIFIED OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "773-775-9755",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-062534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180005988",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "31602843",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Vision Specialists",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Emily Therese Opiola, FNP-C
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• Sharon Opoola
• Joanne Robin Oppenheim, D.D.S.
• Whitney Habermann Oppenheimer, M.A.

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.