OrganizationActive
2020 Illinois PC
NPI 1841842549 · Optometrist · Des Plaines, IL
Provider details
- NPI number
- 1841842549
- Entity type
- Organization
- Primary specialty
- OptometristEye and Vision Services Providers
- Organization subpart
- No
- Authorized official
- David Gibson, Chief Medical Officer(919) 880-6066
Specialties & taxonomies
Eye and Vision Services Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1047 Oakwood Ave
Des Plaines, IL 60016-6332
Phone: (617) 356-8117
Street-level locationGet directions
Mailing address
33 Arch St Fl 17
Boston, MA 02110-1424
Registry dates
- Enumerated
- 2019-07-12
- Last updated
- 2019-07-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.