NPIMap

Organization Active NPI

Elite Optical Look Dba Pearle Vison

  • Eyewear Supplier
  • Chicago, IL
National Provider Identifier
1023229440
Registry record updated Sep 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
1817003 Issued in IL
Legal business name
ELITE OPTICAL LOOK DBA PEARLE VISON
Practice address
410 N Michigan Ave
Chicago, IL 60611-4213
Phone
(312) 644-0885
Fax
(312) 222-1127
NPI assigned
May 25, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2007

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

Authorized official

Name
Mrs. Gina Light
Title
Owner
Phone
(312) 644-0885

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 1817003 IL Primary

Addresses

Primary practice location

410 N Michigan Ave
Chicago, IL 60611-4213

Mailing address

410 N Michigan Ave
Chicago, IL 60611-4213
Phone (312) 644-0885

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189123200000",
    "number": "1023229440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114213",
            "telephone_number": "312-644-0885",
            "fax_number": "312-222-1127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 N MICHIGAN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114213",
            "telephone_number": "312-644-0885",
            "fax_number": "312-222-1127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE OPTICAL LOOK DBA PEARLE VISON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-25",
        "last_updated": "2007-09-07",
        "status": "A",
        "authorized_official_last_name": "LIGHT",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-644-0885",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "1817003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Sep 7, 2007; 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.