Organization Active NPI

Divine Eye Care Inc.

  • Optometrist
  • Morton Grove, IL
National Provider Identifier
1932407012
Registry record updated Dec 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008570 Issued in IL
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

Updated by the provider on Dec 6, 2011

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.