Good Vision Optometry, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010835 Issued in IL

Legal business name

GOOD VISION OPTOMETRY, LLC

Practice address

1 Oakbrook Ctr
Oak Brook, IL 60523-1809

Phone

(630) 368-1101

Fax

(630) 368-1095

NPI assigned

Aug 12, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Jenny J Park, O.D.

Title

Owner/Optometrist

Phone

(706) 483-6242

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480550400000",
    "number": "1033585252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 OAKBROOK CTR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231809",
            "telephone_number": "630-368-1101",
            "fax_number": "630-368-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 OAKBROOK CTR",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231809",
            "telephone_number": "630-368-1101",
            "fax_number": "630-368-1095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD VISION OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2016-12-01",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JENNY",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/OPTOMETRIST",
        "authorized_official_telephone_number": "706-483-6242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Simpelo Gilman
• Nicholas Gius, DNP, CRNA
• Darryl Garrett Glover, PHARM.D
• Debbie Golenia, PTA
• Kent Gomez, PT
• Hiroko Taguchi Goodfriend, LCSW
• Beth S Gordon
• Robert Eugene Gorsich, M.D.
• Thomas M Gosche, DPT
• Sabrina R Gosmire, LCPC

• Optometrist in Oak Brook, IL
• Providers in Oak Brook, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2016; 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.