NPIMap

Organization Active NPI

Peale Vision

  • Optician
  • Lake Bluff, IL
National Provider Identifier
1023138955
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PEALE VISION
Practice address
233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone
(847) 482-9990
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Tatyana Lalaylin
Title
General Manager
Phone
(847) 482-9990

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

233 Waukegan Rd
Lake Bluff, IL 60044-1666

Mailing address

233 Waukegan Rd
Lake Bluff, IL 60044-1666
Phone (847) 482-9990

National Provider Directory

National Provider Directory
Tax ID family
Peale Vision2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1023138955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WAUKEGAN RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441666",
            "telephone_number": "847-482-9990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WAUKEGAN RD",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600441666",
            "telephone_number": "847-482-9990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEALE VISION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LALAYLIN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "847-482-9990",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Bluff, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.