Organization Active NPI

Doctors for Visual Freedom Inc

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1003835968
Registry record updated Aug 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
DOCTORS FOR VISUAL FREEDOM INC
Practice address
5201 N Harlem Ave
Chicago, IL 60656-1803
Phone
(773) 774-2102
Fax
(773) 774-3581
NPI assigned
Jul 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mark I Golden, M.D.
Title
President
Phone
(847) 995-9944

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

5201 N Harlem Ave
Chicago, IL 60656-1803

Mailing address

PO Box 388320
Chicago, IL 60638-8320
Phone (773) 767-4600

Other names 1

  • GOLDEN EYE SURGEONS & CONSULTANTS Doing business as

National Provider Directory

National Provider Directory

Locations

875 N Michigan Ave
Ste 1820
Chicago, IL 60611

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251331200000",
    "number": "1003835968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 388320",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606388320",
            "telephone_number": "773-767-4600",
            "fax_number": "773-767-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5201 N HARLEM AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606561803",
            "telephone_number": "773-774-2102",
            "fax_number": "773-774-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOCTORS FOR VISUAL FREEDOM INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2009-08-27",
        "status": "A",
        "authorized_official_last_name": "GOLDEN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-995-9944",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GOLDEN EYE SURGEONS & CONSULTANTS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.