Organization Active NPI

Hinsdale Eye Center LLC

  • Ophthalmology Physician
  • Hinsdale, IL
National Provider Identifier
1992176580
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036111405 Issued in IL
Legal business name
HINSDALE EYE CENTER LLC
Practice address
126 W First St
Hinsdale, IL 60521-4013
Phone
(630) 325-5200
Fax
(630) 325-5569
NPI assigned
Oct 8, 2015
Last updated
Dec 7, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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

Authorized official

Name
Dawn Kiesling
Title
Billing Manager
Phone
(630) 325-5200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207W00000X 036111405 IL Primary

Addresses

Primary practice location

126 W First St
Hinsdale, IL 60521-4013

Mailing address

126 W First St
Hinsdale, IL 60521-4013
Phone (630) 325-5200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160209001858 IL Part B Supplier - Clinic/Group Practice 0345544557 Receives reassigned benefits from 5 practitioners
Practice locations: Hinsdale, 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1444262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670371200000",
    "number": "1992176580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 W FIRST ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214013",
            "telephone_number": "630-325-5200",
            "fax_number": "630-325-5569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 W FIRST ST",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214013",
            "telephone_number": "630-325-5200",
            "fax_number": "630-325-5569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HINSDALE EYE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-08",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A",
        "authorized_official_last_name": "KIESLING",
        "authorized_official_first_name": "DAWN",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "630-325-5200"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036111405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2022; 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.