NPIMap

Organization Active NPI

Donald V Maduzia OD PC

  • Optometrist
  • Clarendon Hills, IL
National Provider Identifier
1033417845
Registry record updated Mar 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007789 Issued in IL
Legal business name
DONALD V MADUZIA OD PC
Practice address
203 Railroad Ave
Clarendon Hills, IL 60514-1301
Phone
(630) 323-3202
Fax
(630) 321-0512
NPI assigned
Mar 2, 2011
Last updated
Mar 2, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2011

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

Authorized official

Name
Dr. Donald V. Maduzia, O.D.NPI 1518049626
Title
Optometrist/President
Phone
(630) 323-3202

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 046.007789 IL
Optometrist 152W00000X 046-007789 IL Primary

Addresses

Primary practice location

203 Railroad Ave
Clarendon Hills, IL 60514-1301

Mailing address

203 Railroad Ave
Clarendon Hills, IL 60514-1301
Phone (630) 323-3202

National Provider Directory

National Provider Directory

Locations

203 Railroad Ave
Clarendon Hls, IL 60514
Phone (630) 323-3202

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": "1299024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299024000000",
    "number": "1033417845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 RAILROAD AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141301",
            "telephone_number": "630-323-3202",
            "fax_number": "630-321-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 RAILROAD AVE",
            "city": "CLARENDON HILLS",
            "state": "IL",
            "postal_code": "605141301",
            "telephone_number": "630-323-3202",
            "fax_number": "630-321-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD V MADUZIA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-02",
        "last_updated": "2011-03-02",
        "status": "A",
        "authorized_official_last_name": "MADUZIA",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "V.",
        "authorized_official_title_or_position": "OPTOMETRIST/PRESIDENT",
        "authorized_official_telephone_number": "630-323-3202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046.007789",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarendon Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.