Independent Eye Care, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

INDEPENDENT EYE CARE, LLC

Practice address

13327 S State Route 59 Unit 111
Plainfield, IL 60585-5897

Phone

(815) 918-4000

NPI assigned

Apr 20, 2023

Last updated

Apr 20, 2023By 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

Dr. Gregory Maxwell New, ODNPI 1649428970

Title

Owner

Phone

(508) 423-6005

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Gregory M New, OD

  • Optometrist
  • Moline, IL
  • NPI 1649428970
  NPD Authorized official

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

{
    "created_epoch": "1681948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681948800000",
    "number": "1922795814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13327 S STATE ROUTE 59 UNIT 111",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13327 S STATE ROUTE 59 UNIT 111",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855897",
            "telephone_number": "815-918-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INDEPENDENT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A",
        "authorized_official_last_name": "NEW",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_middle_name": "MAXWELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "508-423-6005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.