Organization Active NPI

Westgrove Vision Center LTD

  • Eyewear Supplier
  • Downers Grove, IL
National Provider Identifier
1932325255
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
WESTGROVE VISION CENTER LTD
Practice address
134 Ogden Ave
Downers Grove, IL 60515-2322
Phone
(630) 824-3800
Fax
(630) 824-3820
NPI assigned
Apr 17, 2007
Last updated
Dec 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. George Nagy II, ODNPI 1184703142
Title
Owner
Phone
(630) 824-3800

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
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

134 Ogden Ave
Downers Grove, IL 60515-2322

Mailing address

134 Ogden Avenue
Downers Grove, IL 60515-2322
Phone (630) 824-3800

Other identifiers 4

IdentifierTypeStateIssuer
DP4491OtherILGROUP PTAN RAILROAD MEDICARE
IL1312OtherILINDIVIDUAL P TAN NUMBER
P00758252OtherILINDIVIDUAL PTAN
IL1312001OtherILGROUP PTAN NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060428000599 IL Part B Supplier - Clinic/Group Practice 4385654763 Receives reassigned benefits from 1 practitioner
Practice locations: Downers Grove, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1932325255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 OGDEN AVENUE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152322",
            "telephone_number": "630-824-3800",
            "fax_number": "630-824-3820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 OGDEN AVE",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605152322",
            "telephone_number": "630-824-3800",
            "fax_number": "630-824-3820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTGROVE VISION CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "NAGY",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-824-3800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN RAILROAD MEDICARE",
            "identifier": "DP4491",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL P TAN NUMBER",
            "identifier": "IL1312",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "P00758252",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN NUMBER",
            "identifier": "IL1312001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Downers Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.