NPIMap

Organization Active NPI

Mhac Optical

Doing business as affinity Optical

  • Optometrist
  • Chicago, IL
National Provider Identifier
1053506550
Registry record updated Sep 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MHAC OPTICAL
Doing business as
affinity Optical
Practice address
6500 W Irving Park Rd
Suite I
Chicago, IL 60634-2454
Phone
(773) 202-0181
Fax
(773) 202-0189
NPI assigned
Sep 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2007

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

Authorized official

Name
Juliet Lewis, O.D.NPI 1306925268
Title
President
Phone
(773) 202-0181

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
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

6500 W Irving Park Rd
Suite I
Chicago, IL 60634-2454

Mailing address

6500 W Irving Park Rd
Suite I
Chicago, IL 60634-2454
Phone (773) 202-0181

Other names 1

  • affinity Optical Doing business as

National Provider Directory

National Provider Directory

Locations

6500 W Irving Park Rd
Ste I
Chicago, IL 60634
Phone (773) 202-0181

6500 W Irving Park Rd
#I
Chicago, IL 60634
Phone (773) 202-0181

Practitioners & affiliated clinicians

Practitioners 3

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": "1189296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189296000000",
    "number": "1053506550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W IRVING PARK RD",
            "address_2": "SUITE I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342454",
            "telephone_number": "773-202-0181",
            "fax_number": "773-202-0189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6500 W IRVING PARK RD",
            "address_2": "SUITE I",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606342454",
            "telephone_number": "773-202-0181",
            "fax_number": "773-202-0189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MHAC OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-09",
        "last_updated": "2007-09-09",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "JULIET",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-202-0181",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "affinity Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2007; 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.