The Riverside Eye Corp

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

2314-4531 Issued in IL

Legal business name

THE RIVERSIDE EYE CORP

Practice address

7222 W. Cermak Rd.
Suite 100
North Riverside, IL 60546

Phone

(708) 447-1494

Fax

(708) 447-6178

NPI assigned

Dec 11, 2006

Organization subpart

No

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

Authorized official

Name

Charles Philipoy, DR

Title

Owner

Phone

(708) 447-1494

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• pearle vision express Doing business as

Locations

Practitioners 4

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

• Samir Patel, O.D.

  • Optometrist
  • Countryside, IL
  • NPI 1841334273
  NPD
• Victoria Alfafara, O.D.

  • Optometrist
  • Broadview, IL
  • NPI 1003093857
  NPD (past)
• Robert F. Resk, ROBERT RESK O.D.

  • Optometrist
  • Riverside, IL
  • NPI 1831307909
  NPD (past)
• Ketan K Sheladia, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1982746848
  NPD (past)

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1982764759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7222 W. CERMAK RD.",
            "address_2": "SUITE 100",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-447-1494",
            "fax_number": "708-447-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7222 W. CERMAK RD.",
            "address_2": "SUITE 100",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-447-1494",
            "fax_number": "708-447-6178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RIVERSIDE EYE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-11",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "PHILIPOY",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-447-1494",
        "authorized_official_credential": "DR"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "IL",
            "license": "2314-4531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBMITTER ID",
            "identifier": "B002910",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision express",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "pearle vision express",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Danielle Kathleen Velez
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• Durable Medical Equipment & Medical Supplies in North Riverside, IL
• Providers in North Riverside, IL by specialty
• Durable Medical Equipment & Medical Supplies in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.