Organization Active NPI

Franklin Park Eye Center, P.C.

  • Optometrist
  • Franklin Park, IL
National Provider Identifier
1962578732
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FRANKLIN PARK EYE CENTER, P.C.
Practice address
3541 Rose St
Suite B
Franklin Park, IL 60131-2068
Phone
(847) 678-0808
Fax
(847) 678-0828
NPI assigned
Nov 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. John P. Capellani, O.D.NPI 1861484743
Title
President
Phone
(847) 678-0808

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

3541 Rose St
Suite B
Franklin Park, IL 60131-2068

Mailing address

3541 Rose St
Suite B
Franklin Park, IL 60131-2068
Phone (847) 678-0808

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061220000084 IL Part B Supplier - Clinic/Group Practice 3476552480 Receives reassigned benefits from 1 practitioner
Practice locations: Franklin Park, IL

National Provider Directory

National Provider Directory

Locations

3543 Rose St
Franklin Park, IL 60131
Phone (847) 678-0808

3541 Rose St
Ste B
Franklin Park, IL 60131
Phone (847) 455-0808

Practitioners & affiliated clinicians

Practitioners 1

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": "1164412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962578732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3541 ROSE ST",
            "address_2": "SUITE B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312068",
            "telephone_number": "847-678-0808",
            "fax_number": "847-678-0828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3541 ROSE ST",
            "address_2": "SUITE B",
            "city": "FRANKLIN PARK",
            "state": "IL",
            "postal_code": "601312068",
            "telephone_number": "847-678-0808",
            "fax_number": "847-678-0828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRANKLIN PARK EYE CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CAPELLANI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-678-0808",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.