Organization Active NPI

Plyam of McHenry

  • Optician
  • McHenry, IL
National Provider Identifier
1043330095
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
PLYAM OF MCHENRY
Practice address
1805 N Richmond Rd
McHenry, IL 60050-1415
Phone
(815) 363-1700
Fax
(815) 363-1765
NPI assigned
Mar 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Tatyana Lalayan, BS
Title
Group Manager
Phone
(847) 832-0073

Specialties & licenses 1

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

Addresses

Primary practice location

1805 N Richmond Rd
McHenry, IL 60050-1415

Mailing address

1805 N Richmond Rd
McHenry, IL 60050-1415
Phone (815) 363-1700

Other names 1

  • pearle vision mchenry Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043330095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600501415",
            "telephone_number": "815-363-1700",
            "fax_number": "815-363-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 N RICHMOND RD",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600501415",
            "telephone_number": "815-363-1700",
            "fax_number": "815-363-1765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYAM OF MCHENRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LALAYAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "GROUP MANAGER",
        "authorized_official_telephone_number": "847-832-0073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision mchenry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McHenry, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.