Irish Eyes LLC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

046-008415 Issued in IL

Legal business name

IRISH EYES LLC

Practice address

489 Taft Ave
Suite 100
Glen Ellyn, IL 60137-8209

Phone

(630) 790-1300

Fax

(630) 790-1378

NPI assigned

Jun 18, 2015

Organization subpart

No

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

Authorized official

Name

Dr. James Michael Kelly, O.D.NPI 1154309524

Title

Owner

Phone

(630) 790-1300

Specialties & licenses 1

Addresses

Other names 1

• DuPage Family Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• James Michael Kelly, O.D.

  • Optometrist
  • Glen Ellyn, IL
  • NPI 1154309524
  Medicare reassignment Care Compare group Authorized official
• Antonia Mourelatos, O.D.

  • Optometrist
  • Lake Zurich, IL
  • NPI 1992854269
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1434585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434585600000",
    "number": "1962883694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "489 TAFT AVE",
            "address_2": "SUITE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601378209",
            "telephone_number": "630-790-1300",
            "fax_number": "630-790-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "489 TAFT AVE",
            "address_2": "SUITE 100",
            "city": "GLEN ELLYN",
            "state": "IL",
            "postal_code": "601378209",
            "telephone_number": "630-790-1300",
            "fax_number": "630-790-1378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRISH EYES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-18",
        "last_updated": "2015-06-18",
        "status": "A",
        "authorized_official_last_name": "KELLY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-790-1300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046-008415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DuPage Family Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Inner Hues Therapy LLC
• Innovative Imaging Solutions
• Insight Therapy Services PLLC
• Charles R Ireland, DO
• Irish Eyes LLC
• Karine Ivy, LCPC
• J. Howard and Associates, Inc.
• Kristen A. Jacobs, MSW, LSW
• Judy Ann Jakuszewski, PHARMD.
• Shaukat Jamal, MD

• Eyewear Supplier in Glen Ellyn, IL
• Providers in Glen Ellyn, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2015; 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.