RETINA INSTITUTE OF ILLINOIS PC – NPI #1417037623
Ophthalmology

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Health Care Provider Taxonomy Code for Ophthalmology

RETINA INSTITUTE OF ILLINOIS PC is an ophthalmologist located in NILES, IL. NPPES has assigned the NPI number 1417037623 to RETINA INSTITUTE OF ILLINOIS PC on October 16, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207W00000X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology.

The NPI profile was last updated on Jun 18, 2025. 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 RETINA INSTITUTE OF ILLINOIS PC below.

NPI Profile for
RETINA INSTITUTE OF ILLINOIS PC

NPI Number
1417037623
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
RETINA INSTITUTE OF ILLINOIS PC
Primary location
8780 W GOLF RD
SUITE 304
NILES, IL 60714-5602
Phone: (847) 297-8900 Fax: (847) 297-8926
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CANDICE DAVIS
CHIEF REVENUE CYCLE OFFICER
Phone: (916) 990-7590
Updated
Certification Date
Jun 18, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

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
207W00000X
- Ophthalmology (Primary)

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.