BOLINGBROOK DIABETIC EYE CARE CENTER – NPI #1275739518
Ophthalmology

An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Health Care Provider Taxonomy Code for Ophthalmology

BOLINGBROOK DIABETIC EYE CARE CENTER is an ophthalmologist located in BOLINGBROOK, IL. NPPES has assigned the NPI number 1275739518 to BOLINGBROOK DIABETIC EYE CARE CENTER on June 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “BOLINGBROOK DIABETIC EYE CARE CENTER” is a dba name, the actual legal business name for this organization is RETINA MACULA SPECIALISTS, P.C.. The primary taxonomy selected by this provider is 207WX0107X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Retina Specialist

The NPI profile was previously updated about 8 years ago on May 11, 2018. 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 BOLINGBROOK DIABETIC EYE CARE CENTER below.

NPI Profile for
RETINA MACULA SPECIALISTS, P.C.

NPI Number
1275739518
Enumeration Date

(about 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 MACULA SPECIALISTS, P.C.
Doing Business As (dba): BOLINGBROOK DIABETIC EYE CARE CENTER
Primary location
550 E. BOUGHTON ROAD SUITE 120
BOLINGBROOK, IL 60440
Phone: (630) 783-9960 Fax: (630) 783-9962
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
IRMA AHMED
PRESIDENT.
Phone: (630) 783-9960
Updated
Identifiers

Identifiers for BOLINGBROOK DIABETIC EYE CARE CENTER

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
MEDICAIDIL036101438
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
207WX0107X
- Ophthalmology / Retina Specialist (Primary)		 IL 036101438

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.