NPIMap

Organization Active NPI

Adams Eyecare, PC

  • Optometrist
  • St Charles, IL
National Provider Identifier
1992714463
Registry record updated Oct 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008731 Issued in IL
Legal business name
ADAMS EYECARE, PC
Practice address
3310 W Main St
Suite 180
St Charles, IL 60175-1000
Phone
(630) 377-7722
Fax
(630) 377-7755
NPI assigned
Aug 5, 2006
Last updated
Oct 1, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2011

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

Authorized official

Name
Dr. Carla Denise Adams, O.D.NPI 1720199409
Title
Optometrist
Phone
(630) 377-7722

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046008731 IL Primary

Addresses

Primary practice location

3310 W Main St
Suite 180
St Charles, IL 60175-1000

Mailing address

PO Box 10
Streamwood, IL 60107-0010
Phone (630) 377-7722

National Provider Directory

National Provider Directory

Locations

2435 Dean St
Ste 2C
St Charles, IL 60175
Phone (630) 377-7722

3310 W Main St
Ste 180
St Charles, IL 60175
Phone (630) 377-7722

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": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317427200000",
    "number": "1992714463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601070010",
            "telephone_number": "630-377-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3310 W MAIN ST",
            "address_2": "SUITE 180",
            "city": "ST CHARLES",
            "state": "IL",
            "postal_code": "601751000",
            "telephone_number": "630-377-7722",
            "fax_number": "630-377-7755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADAMS EYECARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2011-10-01",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-377-7722",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Charles, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2011; 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.