CUSTOM EYES
NPI 1639302383
Optometrist in Chicago, IL

Active since August 28, 2009
3539 N SOUTHPORT AVE, CHICAGO, IL 60657(773) 871-2020(773) 871-2099 Get Directions Write a Review

NPPES record last updated: May 24, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Custom Eyes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CUSTOM EYES (NPI 1639302383) is a healthcare organization registered as an optometrist in Chicago, Illinois and active in the NPI registry since August 2009. The organization lists Michael Sculley, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1639302383
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NameSOUTHPORT EYE ASSOCIATES LTD
Location Address3539 N SOUTHPORT AVEChicago, IL 60657
Mailing Address3539 N Southport AveChicago, IL 60657-6447 · (773) 871-2020 · Fax (773) 871-2099
Fax(773) 871-2099
Organization SubpartNo
Authorized OfficialMichael SculleyOptometrist · (773) 871-2020
Enumeration DateAugust 28, 2009
Last NPPES UpdateMay 24, 2018
NPI 1639302383 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in IL · 046.009541
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
3539 N SOUTHPORT AVE, Chicago, IL 60657

Other Names 1

Doing Business AsCustom Eyes

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Optometrist
3539 N SOUTHPORT AVE
CHICAGO, IL 60657
Optometrist
3539 N SOUTHPORT AVE
CHICAGO, IL 60657
Optometrist
3539 N SOUTHPORT AVE
CHICAGO, IL 60657
Optometrist
3539 N SOUTHPORT AVE
CHICAGO, IL 60657

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southport Eye Associates Ltd's NPI number?

The NPI number for Southport Eye Associates Ltd is 1639302383. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Custom Eyes.

Where is Southport Eye Associates Ltd located?

Southport Eye Associates Ltd is located at 3539 N Southport Ave, Chicago, IL 60657. The listed phone number is (773) 871-2020.

What is Southport Eye Associates Ltd's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

What insurance does Southport Eye Associates Ltd accept?

Health plans from Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Louisiana and BlueCross BlueShield of Tennessee list Southport Eye Associates Ltd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Southport Eye Associates Ltd was last updated on May 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.