Premier Vision Associates P.C.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036-130222 Issued in IL

Legal business name

PREMIER VISION ASSOCIATES P.C.

Practice address

202 N Hammes Ave
Unit a
Joliet, IL 60435-8129

Phone

(815) 744-2020

Fax

(815) 729-4100

NPI assigned

Jul 28, 2016

Last updated

Sep 20, 2016By 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

Gaurav Singh, M.D.NPI 1598908675

Title

President

Phone

(815) 744-2020

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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.

• Gaurav Kumar Singh, MD

  • Ophthalmology Physician
  • Joliet, IL
  • NPI 1598908675
  Medicare reassignment Care Compare group NPD Authorized official
• Alexandra M Piper

  • Optometrist
  • Joliet, IL
  • NPI 1720519002
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1912450727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 N HAMMES AVE",
            "address_2": "UNIT A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358129",
            "telephone_number": "815-744-2020",
            "fax_number": "815-729-4100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 N HAMMES AVE",
            "address_2": "UNIT A",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604358129",
            "telephone_number": "815-744-2020",
            "fax_number": "815-729-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER VISION ASSOCIATES P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "GAURAV",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-744-2020",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-130222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher John Pratt, PHARM.D.
• Precision Radiation Oncology LLC
• Precision Surgical Consultants LLC
• Preferred Home Healthcare Providers SC
• Premier Surgical Services Inc. (Autumn Lawson)
• Premise Health of Illinois Medical PC (MCL Health Center)
• Presence Central and Suburban Hospitals Network (Presence St. Joseph Medical Center - Psychiatric Unit)
• Presence Central and Suburban Hospitals Network (Presence Saint Joseph Medical Center-Rehab Unit)
• Presence Central and Suburban Hospitals Network (Presence Neuroscience Institute)
• Presence Central and Suburban Hospitals Network (PSJMC Neonatology)

• Ophthalmology Physician in Joliet, IL
• Providers in Joliet, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; 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.