NPIMap

Organization Active NPI

Clarendon Vision Development Center

  • Vision Therapy Optometrist
  • Westmont, IL
National Provider Identifier
1982982385
Registry record updated Sep 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vision Therapy OptometristTaxonomy code 152WV0400X
License
046009498 Issued in IL
Legal business name
CLARENDON VISION DEVELOPMENT CENTER
Practice address
700 E Ogden Ave Ste 200
Westmont, IL 60559-1296
Phone
(630) 323-7300
NPI assigned
Aug 2, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2024

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

Authorized official

Name
Monika Spokas, ODNPI 1447296256
Title
President
Phone
(630) 640-6769

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
Vision Therapy OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152WV0400X 046009498 IL Primary

Addresses

Primary practice location

700 E Ogden Ave Ste 200
Westmont, IL 60559-1296

Mailing address

700 E Ogden Ave Ste 200
Westmont, IL 60559-1296
Phone (630) 323-7300

Other names 1

  • Clarendon Vision Advanced Eyecare Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111222000349 IL Part B Supplier - Clinic/Group Practice 5799951745 Receives reassigned benefits from 3 practitioners
Practice locations: Westmont, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1312243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727654400000",
    "number": "1982982385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 200",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-323-7300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 E OGDEN AVE STE 200",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605591296",
            "telephone_number": "630-323-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENDON VISION DEVELOPMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-02",
        "last_updated": "2024-09-30",
        "certification_date": "2024-09-30",
        "status": "A",
        "authorized_official_last_name": "SPOKAS",
        "authorized_official_first_name": "MONIKA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-640-6769",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152WV0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": "046009498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clarendon Vision Advanced Eyecare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Westmont, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.