Springdale Eyecare LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

46009983 Issued in IL

Legal business name

SPRINGDALE EYECARE LLC

Practice address

5450 Wolf Rd
Western Springs, IL 60558-1852

Phone

(708) 820-2020

NPI assigned

Dec 12, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Tanya Halikias, ODNPI 1255539292

Title

Optometrist

Phone

(312) 912-1812

Specialties & licenses 1

Addresses

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.

• Tanya Halikias, O.D.

  • Optometrist
  • Western Springs, IL
  • NPI 1255539292
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1513036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1513036800000",
    "number": "1922513928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10701 CHERRYWOOD DR",
            "city": "PALOS PARK",
            "state": "IL",
            "postal_code": "604643701",
            "telephone_number": "312-912-1812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5450 WOLF RD",
            "city": "WESTERN SPRINGS",
            "state": "IL",
            "postal_code": "605581852",
            "telephone_number": "708-820-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPRINGDALE EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-12",
        "last_updated": "2017-12-12",
        "status": "A",
        "authorized_official_last_name": "HALIKIAS",
        "authorized_official_first_name": "TANYA",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "312-912-1812",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "46009983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicholas Spiros Sourbis
• Caitlin Southrey
• Speech and Language Academy, Inc.
• Frederick R Spencer, DPM
• Spring Orthodontics
• Gina M Staten Brabham, MA, LCPC
• Sarah Stauber, MA
• Vicky Steen, LMT, CMMP
• Emily Steffen
• Stelmack Pinpoint Health Care LLC

• Clinic/Center in Western Springs, IL
• Providers in Western Springs, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2017; 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.