Third Street Eyecare, LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

00466713 Issued in IL

Legal business name

THIRD STREET EYECARE, LTD

Practice address

500 S Third St
Ste 105
Geneva, IL 60134-2762

Phone

(815) 751-5269

Fax

(331) 248-0328

NPI assigned

Nov 14, 2011

Last updated

Mar 7, 2023By 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. Randall D Burggraf, OD

Title

Doctor

Phone

(815) 751-5269

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 10

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.

• Douglas Anthony Azzaro, O.D.

  • Corneal and Contact Management Optometrist
  • Woodridge, IL
  • NPI 1346394111
  NPD
• Tatjana Karovic Glasser, OD

  • Optometrist
  • Naperville, IL
  • NPI 1336625169
  NPD
• Amanda Rose Ico, OD

  • Optometrist
  • Woodridge, IL
  • NPI 1558031666
  NPD
• Nicole Freeman Margason, OD

  • Optometrist
  • Woodridge, IL
  • NPI 1134953227
  NPD
• Eric C Veverka, OD

  • Optometrist
  • Chicago, IL
  • NPI 1518580430
  NPD
• Ashlyn Ward, OD

  • Optometrist
  • Urbandale, IA
  • NPI 1922587591
  NPD
• Amber Lynn Dawson, O.D.

  • Optometrist
  • Naperville, IL
  • NPI 1023262789
  NPD (past)
• Kevin Harte, O.D.

  • Optometrist
  • Lombard, IL
  • NPI 1336290253
  NPD (past)
• Luke Ew Neuenfeldt, OD

  • Optometrist
  • Orland Park, IL
  • NPI 1942853700
  NPD (past)
• Elizabeth Shelus, O.D.

  • Optometrist
  • Downers Grove, IL
  • NPI 1598052326
  NPD (past)

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1881971133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3317 HUSKING PEG LN",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344656",
            "telephone_number": "815-751-5269",
            "fax_number": "331-248-0328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 S THIRD ST",
            "address_2": "STE 105",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342762",
            "telephone_number": "815-751-5269",
            "fax_number": "331-248-0328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIRD STREET EYECARE, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BURGGRAF",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-751-5269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "00466713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1447318563",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Hart Center
• The Merra-Lee Shops Inc.
• The Plains Clinic
• The Prairie Clinic
• Toni Thill, LCSW, CADC
• Thomas Skoumal DDS, PC
• Jill Thomas
• Roy Thomas, DO, MPH
• Jorie R Thompson, PA-C
• Shanequa Thompson, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.