SJH PEDIATRIC OPTHALMOLOGY – NPI #1194939215
Optometrist

Optometrists who work in Pediatrics are concerned with the prevention, development, diagnosis, and treatment of visual problems in children.

SJH PEDIATRIC OPTHALMOLOGY is an optometrist located in CHICAGO, IL. NPPES has assigned the NPI number 1194939215 to SJH PEDIATRIC OPTHALMOLOGY on May 09, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SJH PEDIATRIC OPTHALMOLOGY” is a dba name, the actual legal business name for this organization is ST. JOSEPH HOSPITAL. The primary taxonomy selected by this provider is 152WP0200X from the Health Care Provider Taxonomy code set, which is classified as Optometrist, specializing in Pediatrics

The NPI profile was previously updated about 18 years ago on Aug 04, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SJH PEDIATRIC OPTHALMOLOGY below.

NPI Profile for
ST. JOSEPH HOSPITAL

NPI Number
1194939215
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
ST. JOSEPH HOSPITAL
Doing Business As (dba): SJH PEDIATRIC OPTHALMOLOGY
Primary location
2900 N LAKE SHORE DR.
CHICAGO, IL 60657
Phone: (773) 665-3000 Fax:
Mailing address
1 TRANSAM PLAZA DR.
SUITE 490
OAKBROOK TERRACE, IL 60181
Phone: (630) 424-1122 Fax: (630) 424-1678
Organization Subpart
No
Authorized Official
RONALD STRUXNESS
CHIEF EXECUTIVE OFFICER
Phone: (773) 665-3000
Updated
Identifiers

Identifiers for SJH PEDIATRIC OPTHALMOLOGY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBCBS OF IL GROUP PROVIDERIL01632129
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
152WP0200X
- Optometrist / Pediatrics (Primary)
IL 036074319

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.