Organization Active NPI

Expert Family Eyecare LLC

  • Eyewear Supplier
  • Lincolnshire, IL
National Provider Identifier
1881335719
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EXPERT FAMILY EYECARE LLC
Practice address
185 Milwaukee Ave Ste 110
Lincolnshire, IL 60069-3085
Phone
(224) 623-2095
NPI assigned
Apr 5, 2022
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Veronica Kacherova, ODNPI 1437414596
Title
Sole Owner
Phone
(224) 623-2095

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU
Optician 156FX1800X NU
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

185 Milwaukee Ave Ste 110
Lincolnshire, IL 60069-3085

Mailing address

520 Muirfield LN
Riverwoods, IL 60015-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220519001255 IL Part B Supplier - Clinic/Group Practice 5991182529 Receives reassigned benefits from 2 practitioners
Practice locations: Lincolnshire, IL

National Provider Directory

National Provider Directory

Locations

185 Milwaukee Ave
Ste 110
Lincolnshire, IL 60069
Phone (224) 623-2095

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.

NPI Registry JSON

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

{
    "created_epoch": "1649116800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1881335719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MUIRFIELD LN",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 MILWAUKEE AVE STE 110",
            "city": "LINCOLNSHIRE",
            "state": "IL",
            "postal_code": "600693085",
            "telephone_number": "224-623-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXPERT FAMILY EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-04",
        "status": "A",
        "authorized_official_last_name": "KACHEROVA",
        "authorized_official_first_name": "VERONICA",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "224-623-2095",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnshire, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.