Active NPI
Divine Eye Care Inc.
- Optometrist
- Morton Grove, IL
National Provider Identifier
1932407012
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046008570
- Legal business name
- DIVINE EYE CARE INC.
- Doing business as
- Our Vision Center
- Practice address
- 5630 Dempster St
Morton Grove, IL 60053-3110 - Phone
- (847) 581-1891
- Fax
- (847) 581-1887
- NPI assigned
- Mar 14, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Kyung R Hong, O.D.
- Title
- President
- Phone
- (847) 581-1891
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046008570 | IL | Primary |
Addresses
Primary practice location
5630 Dempster St
Morton Grove, IL 60053-3110
Mailing address
5630 Dempster St
Morton Grove, IL 60053-3110
Phone (847) 581-1891
Other names 1
- Our Vision Center
National Provider Directory
National Provider DirectoryLocations
5630 Dempster St
Morton Grove, IL 60053
Phone (847) 470-1115
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Morton Grove, IL
- NPI 1053887042
-
- Optometrist
- Dacula, GA
- NPI 1912356601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300060800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323129600000",
"number": "1932407012",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5630 DEMPSTER ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533110",
"telephone_number": "847-581-1891",
"fax_number": "847-581-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5630 DEMPSTER ST",
"city": "MORTON GROVE",
"state": "IL",
"postal_code": "600533110",
"telephone_number": "847-581-1891",
"fax_number": "847-581-1887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIVINE EYE CARE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-03-14",
"last_updated": "2011-12-06",
"status": "A",
"authorized_official_last_name": "HONG",
"authorized_official_first_name": "KYUNG",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "847-581-1891",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046008570",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Our Vision Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morton Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.