NPIMap

Organization Active NPI

Kish Optical Inc.

  • Eyewear Supplier
  • Pingree Grove, IL
National Provider Identifier
1023414539
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
KISH OPTICAL INC.
Practice address
969 Bristol St
Pingree Grove, IL 60140-9185
Phone
(224) 623-2060
NPI assigned
Nov 10, 2014
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Mrs. Kishwer ShakeelNPI 1376948901
Title
President
Phone
(224) 623-2060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

969 Bristol St
Pingree Grove, IL 60140-9185

Mailing address

969 Bristol St
Pingree Grove, IL 60140-9185
Phone (224) 623-2060

National Provider Directory

National Provider Directory

Locations

620 Wing St
Ste 8
Elgin, IL 60123

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1415577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1023414539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 BRISTOL ST",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601409185",
            "telephone_number": "224-623-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 BRISTOL ST",
            "city": "PINGREE GROVE",
            "state": "IL",
            "postal_code": "601409185",
            "telephone_number": "224-623-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KISH OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-10",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "SHAKEEL",
        "authorized_official_first_name": "KISHWER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-623-2060",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pingree Grove, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.