Lakeview Eyecare Center LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.008449 Issued in IL

Legal business name

LAKEVIEW EYECARE CENTER LTD

Practice address

3500 N Ashland Ave
Chicago, IL 60657-1314

Phone

(773) 327-0874

Fax

(773) 327-6535

NPI assigned

Sep 22, 2006

Last updated

Dec 4, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alan David Weiler, ODNPI 1699755751

Title

President

Phone

(773) 327-0874

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Alan David Weiler, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1699755751
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228348800000",
    "number": "1871692863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571314",
            "telephone_number": "773-327-0874",
            "fax_number": "773-327-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606571314",
            "telephone_number": "773-327-0874",
            "fax_number": "773-327-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKEVIEW EYECARE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-22",
        "last_updated": "2008-12-04",
        "status": "A",
        "authorized_official_last_name": "WEILER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-327-0874",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.008449",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lakeside Radiologists, SC
• Lakeside Specialized Pediatric Occupational Therapy PLLC
• Lakeside Spine and Wellness Inc
• Lakeview Anesthesia LLC
• Lakeview Center for Psychotherapy
• Lakeview Family Chiropractic, LLC
• Lakeview Health Network LLC
• Lakeview Home Dialysis LLC
• Lakeview Immediate Care LLC (Aayu Clinics)
• Lakeview Life Rising (Shen Shen Health and Harmony)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2008; 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.