Organization Active NPI

Vesna Simic, Inc.

  • Optometrist
  • Deerfield, IL
National Provider Identifier
1881992469
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009401 Issued in IL
Legal business name
VESNA SIMIC, INC.
Practice address
775 Waukegan Rd
Suite 170
Deerfield, IL 60015-4342
Phone
(847) 940-0523
Fax
(847) 940-0543
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Vesna Simic, O.D.NPI 1912041468
Title
Director
Phone
(847) 940-0523

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009401 IL Primary

Addresses

Primary practice location

775 Waukegan Rd
Suite 170
Deerfield, IL 60015-4342

Mailing address

775 Waukegan Rd
Suite 170
Deerfield, IL 60015-4342
Phone (847) 940-0523

National Provider Directory

National Provider Directory

Locations

775 Waukegan Rd
Ste 170
Deerfield, IL 60015
Phone (847) 607-9225

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1881992469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 WAUKEGAN RD",
            "address_2": "SUITE 170",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154342",
            "telephone_number": "847-940-0523",
            "fax_number": "847-940-0543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 WAUKEGAN RD",
            "address_2": "SUITE 170",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600154342",
            "telephone_number": "847-940-0523",
            "fax_number": "847-940-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VESNA SIMIC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "SIMIC",
        "authorized_official_first_name": "VESNA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "847-940-0523",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

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