Brian Dembo,O.D.,P.C.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008000 Issued in IL

Legal business name

BRIAN DEMBO,O.D.,P.C.

Practice address

1545 Waukegan Rd
Glenview, IL 60025-2166

Phone

(847) 998-6700

NPI assigned

Jul 15, 2008

Organization subpart

No

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

Authorized official

Name

Brian Marc Dembo, O.D.

Title

President

Phone

(847) 998-6700

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219968000000",
    "number": "1922262328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252166",
            "telephone_number": "847-998-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 WAUKEGAN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600252166",
            "telephone_number": "847-998-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN DEMBO,O.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2008-08-29",
        "status": "A",
        "authorized_official_last_name": "DEMBO",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-998-6700",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01684637",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046008000",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cindy Kay Brandt, PTA
• Victoria L. Braund, MD
• Karen Green Brauns, SLP
• Kathleen Burke Brennan, PA
• Jeffery K Bressman, DDS
• Renata Trela Brindise, D.O.
• Cody Brinkman
• Bethany Frances Brinkworth, MA, ATC
• Denise M Britton, ANP
• Gabrielle Brod, COTAL

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2008; 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.