Organization
FOX VALLEY OPHTHALMOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN C MOSS (ADMINISTRATOR)
(630) 584-9850
Entity
Organization
Contact information
Practice address
40W330 LAFOX RD, ST CHARLES, IL 60175-6515
(630) 584-9850
(630) 584-1523
Mailing address
750 FLETCHER DR STE 106, ELGIN, IL 60123-4703
(847) 695-0499
(847) 695-4339
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
042002501
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04519570
BCBS
IL
01
—
379827
UNITED HEALTHCARE
IL
01
—
CL1986
MEDICARE RAILROAD
IL
Enumeration date
03/03/2008
Last updated
04/23/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up