Eye Care by Design, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

EYE CARE BY DESIGN, LLC

Practice address

1850 W Chicago Ave
Chicago, IL 60622-5512

Phone

(312) 761-9660

Fax

(312) 761-9645

NPI assigned

Jul 13, 2021

Last updated

Jul 13, 2021By 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

Azzrah Thobani, OD, FAAONPI 1265664502

Title

Owner

Phone

(312) 761-9660

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, and the practitioner matching its NPPES authorized official.

• Azzrah Thobani, OD, FAAO

  • Optometrist
  • Northbrook, IL
  • NPI 1265664502
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1932771623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 W MONROE ST UNIT 509",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072581",
            "telephone_number": "312-451-9496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225512",
            "telephone_number": "312-761-9660",
            "fax_number": "312-761-9645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYE CARE BY DESIGN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "THOBANI",
        "authorized_official_first_name": "AZZRAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-761-9660",
        "authorized_official_credential": "OD, FAAO"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2021; 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.