MWB Vision Inc

Primary specialty

Sports Vision OptometristTaxonomy code 152WS0006X

License

046010336 Issued in IL

Legal business name

MWB VISION INC

Doing business as

4Sight iCare

Practice address

11914 S Route 59
Unit 106
Plainfield, IL 60585-5110

Phone

(815) 915-4047

NPI assigned

Mar 11, 2015

Last updated

Mar 11, 2015By 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

Mark W Burke, ODNPI 1811299324

Title

Optometrist

Phone

(815) 915-4047

Specialties & licenses 1

Addresses

Other names 1

• 4Sight iCare Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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.

• Mark W Burke, OD

  • Optometrist
  • Plainfield, IL
  • NPI 1811299324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1426032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426032000000",
    "number": "1891188199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2194 KEMMERER LN",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604905037",
            "telephone_number": "773-425-0732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11914 S ROUTE 59",
            "address_2": "UNIT 106",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855110",
            "telephone_number": "815-915-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MWB VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-11",
        "last_updated": "2015-03-11",
        "status": "A",
        "authorized_official_last_name": "BURKE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "815-915-4047",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": "046010336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "4Sight iCare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Murphy Chiropractic and Wellness Corp
• Jennifer J Murphy Mravle, D.C.
• Anna Elvira Murphy
• Pamela Murphy, PSY.D.
• Roseann Murray, MA, LCPC, CADC
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• Laura Myers, LPN
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• James J Nabzdyk, DC
• Sara Nadeem, OTR

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; 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.