Organization Active NPI

Ap Eyecare LLC

  • Optometrist
  • Niles, IL
National Provider Identifier
1982900585
Registry record updated Jan 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
AP EYECARE LLC
Practice address
220 Golf Mill Ctr
Niles, IL 60714-1220
Phone
(847) 299-1366
Fax
(847) 824-4836
NPI assigned
Jan 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2011

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

Authorized official

Name
Dr. Alla PasmanNPI 1649321001
Title
Dr. of Optometry
Phone
(847) 702-7746

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 Primary

Addresses

Primary practice location

220 Golf Mill Ctr
Niles, IL 60714-1220

Mailing address

1938 Jessica LN
Northbrook, IL 60062-5876
Phone (847) 702-7746

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20121126000482 IL Part B Supplier - Clinic/Group Practice 0042461949 Receives reassigned benefits from 1 practitioner
Practice locations: Niles, IL

National Provider Directory

National Provider Directory

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": "1296432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296432000000",
    "number": "1982900585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1938 JESSICA LN",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600625876",
            "telephone_number": "847-702-7746",
            "fax_number": "312-577-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 GOLF MILL CTR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607141220",
            "telephone_number": "847-299-1366",
            "fax_number": "847-824-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AP EYECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-31",
        "last_updated": "2011-01-31",
        "status": "A",
        "authorized_official_last_name": "PASMAN",
        "authorized_official_first_name": "ALLA",
        "authorized_official_title_or_position": "DR. OF OPTOMETRY",
        "authorized_official_telephone_number": "847-702-7746",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2011; 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.