Organization Active NPI

Corley Optical of Hinsdale, Inc

  • Optician
  • Hinsdale, IL
National Provider Identifier
1043397268
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
2389-5853 Issued in IL
Legal business name
CORLEY OPTICAL OF HINSDALE, INC
Practice address
44 Village PL
Hinsdale, IL 60521-4132
Phone
(630) 323-1615
Fax
(630) 323-1615
NPI assigned
Nov 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Suzanne M MisiewiczNPI 1598842122
Title
Owner
Phone
(630) 323-1615

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
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 2389-5853 IL Primary

Addresses

Primary practice location

44 Village PL
Hinsdale, IL 60521-4132

Mailing address

44 Village PL
Hinsdale, IL 60521-4132
Phone (630) 323-1615

National Provider Directory

National Provider Directory

Locations

44 Village Pl
Hinsdale, IL 60521
Phone (630) 323-1615

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043397268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 VILLAGE PL",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214132",
            "telephone_number": "630-323-1615",
            "fax_number": "630-323-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 VILLAGE PL",
            "city": "HINSDALE",
            "state": "IL",
            "postal_code": "605214132",
            "telephone_number": "630-323-1615",
            "fax_number": "630-323-1615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORLEY OPTICAL OF HINSDALE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MISIEWICZ",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-323-1615",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": "2389-5853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinsdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.