NPIMap

Organization Active NPI

Chicagoland Eyecare Inc

Doing business as Eyeland Optique LLC

  • Optometrist
  • Hilton Head Island, SC
National Provider Identifier
1912478462
Registry record updated Dec 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
CHICAGOLAND EYECARE INC
Doing business as
Eyeland Optique LLC
Practice address
890 William Hilton Pkwy Ste 93
Hilton Head Island, SC 29928-3419
Phone
(843) 681-2020
NPI assigned
Dec 10, 2018
Organization subpart
Yes
Parent organization
CHICAGOLAND EYECARE INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 10, 2018

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

Authorized official

Name
Carrie Roitstein, ODNPI 1134180060
Title
Owner
Phone
(630) 325-2020

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 Primary

Addresses

Primary practice location

890 William Hilton Pkwy Ste 93
Hilton Head Island, SC 29928-3419

Mailing address

890 William Hilton Pkwy Ste 93
Hilton Head Island, SC 29928-3419
Phone (184) 368-1202

Other names 1

  • Eyeland Optique LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190118002894 SC Part B Supplier - Clinic/Group Practice 0446514772 Receives reassigned benefits from 4 practitioners
Practice locations: Hilton Head Island, SC

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Chicagoland Eyecare Inc3 organizations share this tax ID, including this one
Part of
Chicagoland Eyecare Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1205 N Dearborn St
Chicago, IL 60610
Phone (312) 943-2020

Practitioners & affiliated clinicians

Practitioners 5

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": "1544400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1544400000000",
    "number": "1912478462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "890 WILLIAM HILTON PKWY STE 93",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283419",
            "telephone_number": "184-368-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "890 WILLIAM HILTON PKWY STE 93",
            "city": "HILTON HEAD ISLAND",
            "state": "SC",
            "postal_code": "299283419",
            "telephone_number": "843-681-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND EYECARE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CHICAGOLAND EYECARE INC.",
        "enumeration_date": "2018-12-10",
        "last_updated": "2018-12-10",
        "status": "A",
        "authorized_official_last_name": "ROITSTEIN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-325-2020",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eyeland Optique LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hilton Head Island, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2018; 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.