NPIMap

Organization Active NPI

Modern Eye Caer LTD

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1871772111
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
MODERN EYE CAER LTD
Practice address
4640 N Marine Dr
8 Blum
Chicago, IL 60640-5719
Phone
(773) 564-6175
Fax
(773) 561-0631
NPI assigned
Nov 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Authorized official

Name
Aleksandr Kagan, D.O.
Title
Physician
Phone
(773) 564-6175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X IL Primary

Addresses

Primary practice location

4640 N Marine Dr
8 Blum
Chicago, IL 60640-5719

Mailing address

4640 N Marine Dr
Chicago, IL 60640-5719
Phone (773) 564-6175

Other identifiers 1

IdentifierTypeStateIssuer
1598728453OtherINDIVIDUAL NPI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198108800000",
    "number": "1871772111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-564-6175",
            "fax_number": "773-561-0631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 N MARINE DR",
            "address_2": "8 BLUM",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606405719",
            "telephone_number": "773-564-6175",
            "fax_number": "773-561-0631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN EYE CAER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-12-20",
        "status": "A",
        "authorized_official_last_name": "KAGAN",
        "authorized_official_first_name": "ALEKSANDR",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-564-6175",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1598728453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.