Eye Physicians of Kankakee,LTD

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

036103938 Issued in IL

Legal business name

EYE PHYSICIANS OF KANKAKEE,LTD

Practice address

372 Larry Power Rd
Suite1
Bourbonnais, IL 60914-5190

Phone

(815) 933-5202

Fax

(815) 933-6531

NPI assigned

Mar 13, 2007

Last updated

Dec 13, 2011By 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. Steven J Burns, MD

Title

Ophthalmologist

Phone

(815) 933-5202

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323734400000",
    "number": "1881727741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 LARRY POWER RD",
            "address_2": "SUITE1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145190",
            "telephone_number": "815-933-5202",
            "fax_number": "815-933-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 LARRY POWER RD",
            "address_2": "SUITE1",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609145190",
            "telephone_number": "815-933-5202",
            "fax_number": "815-933-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE PHYSICIANS OF KANKAKEE,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2011-12-13",
        "status": "A",
        "authorized_official_last_name": "BURNS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OPHTHALMOLOGIST",
        "authorized_official_telephone_number": "815-933-5202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "036103938",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103938",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel Errampalli, M.D.
• Curtis Lee Estrada, PT
• Jessica D Evans, PTA
• Taylor Ewing, MA, NCC, LCPC
• Eye Physicians of Kankakee,LTD
• Fais Reference Labs Inc
• Family Care Associates of Bourbonnais, Inc.
• Katelin Fane, PT
• Gail Ferrebee, PT
• Jason William Ferris, PT

• Eyewear Supplier in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; 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.