NPIMap

Organization Active NPI

Ronald S Weiss MD SC

Doing business as Chicago Eye Consultants

  • Ophthalmology Physician
  • Stickney, IL
National Provider Identifier
1962415992
Registry record updated Jun 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
RONALD S WEISS MD SC
Doing business as
Chicago Eye Consultants
Practice address
4401 Harlem Ave
Stickney, IL 60402-4250
Phone
(708) 788-3400
Fax
(708) 788-3472
NPI assigned
Aug 14, 2006
Last updated
Jun 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2022

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

Authorized official

Name
George L Neal
Title
Assistant Secretary
Phone
(469) 214-0144

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4401 Harlem Ave
Stickney, IL 60402-4250

Mailing address

4401 Harlem Ave
Stickney, IL 60402-4250
Phone (708) 788-3400

Other practice location 1

2719 W Peterson Ave
Chicago, IL 60659-3919
Phone (773) 561-5100

Other practice location 2

5600 W Addison St Ste 102
Chicago, IL 60634-4401
Phone (773) 561-5100

Other names 1

  • Chicago Eye Consultants Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060216000354 IL Part B Supplier - Clinic/Group Practice 4385659069 Receives reassigned benefits from 8 practitioners
Practice locations: Chicago, IL; Downers Grove, IL; Gurnee, IL; Hinsdale, IL; River Forest, IL; Stickney, IL

National Provider Directory

National Provider Directory

Locations

2719 W Peterson Ave
Chicago, IL 60659
Phone (773) 271-2719

7247 LK St
River Forest, IL 60305
Phone (708) 397-8114

4401 S Harlem Ave
Stickney, IL 60402
Phone (708) 788-3400

Interoperability endpoints

  • Direct secure messaging: crocken@cecil.intellechartdirect.net
  • Direct secure messaging: rpearlman@cecil.intellechartdirect.net

Practitioners & affiliated clinicians

Practitioners 11

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": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655769600000",
    "number": "1962415992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 HARLEM AVE",
            "city": "STICKNEY",
            "state": "IL",
            "postal_code": "604024250",
            "telephone_number": "708-788-3400",
            "fax_number": "708-788-3472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 HARLEM AVE",
            "city": "STICKNEY",
            "state": "IL",
            "postal_code": "604024250",
            "telephone_number": "708-788-3400",
            "fax_number": "708-788-3472"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2719 W Peterson Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606593919",
            "country_code": "US",
            "telephone_number": "773-561-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5600 W Addison St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606344401",
            "country_code": "US",
            "telephone_number": "773-561-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RONALD S WEISS MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A",
        "authorized_official_last_name": "NEAL",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "469-214-0144"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chicago Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Chicago Eye Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stickney, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.