Active NPI
Eyemax Inc.
- Optometrist
- Aurora, IL
National Provider Identifier
1902388754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-009528
- Legal business name
- EYEMAX INC.
- Practice address
- 2003 Montgomery Rd Ste 104
Aurora, IL 60504-9059 - Phone
- (630) 425-8221
- Fax
- (630) 425-8222
- NPI assigned
- Aug 29, 2018
- Last updated
- Oct 7, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michelle K Aung-Kunimura, DO
- Title
- President
- Phone
- (630) 425-8221
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046-009528 | IL | Primary |
Addresses
Primary practice location
2003 Montgomery Rd Ste 104
Aurora, IL 60504-9059
Mailing address
2620 High Meadow Rd
Naperville, IL 60564-4322
Phone (630) 730-3093
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 046009528 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2003 Montgomery Rd
Aurora, IL 60504
Phone (630) 229-6708
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Optometrist
- Aurora, IL
- NPI 1932238946
-
- Optometrist
- Aurora, IL
- NPI 1851603666
-
- Optometrist
- Aurora, IL
- NPI 1134260433
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1570406400000",
"number": "1902388754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2620 HIGH MEADOW RD",
"city": "NAPERVILLE",
"state": "IL",
"postal_code": "605644322",
"telephone_number": "630-730-3093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2003 MONTGOMERY RD STE 104",
"city": "AURORA",
"state": "IL",
"postal_code": "605049059",
"telephone_number": "630-425-8221",
"fax_number": "630-425-8222"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EYEMAX INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-29",
"last_updated": "2019-10-07",
"status": "A",
"authorized_official_last_name": "AUNG-KUNIMURA",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-425-8221",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-009528",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046009528",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Aurora, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2019; 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.