Organization Active NPI

Village Eye Care LTD

  • Optometrist
  • Chicago, IL
National Provider Identifier
1063633394
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VILLAGE EYE CARE LTD
Practice address
1116 W Taylor St
Chicago, IL 60607-4214
Phone
(312) 829-6173
NPI assigned
May 2, 2007
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
Dr. Satpal Sarai, O.D.
Title
President
Phone
(312) 829-6173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

1116 W Taylor St
Chicago, IL 60607-4214

Mailing address

1116 W Taylor St
Chicago, IL 60607-4214
Phone (312) 829-6173

Other identifiers 1

IdentifierTypeStateIssuer
01636791OtherILBLUE CROSS BLUE SHIELD

National Provider Directory

National Provider Directory
Tax ID family
Village Eyecare3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

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": "1178064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063633394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1116 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074214",
            "telephone_number": "312-829-6173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1116 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606074214",
            "telephone_number": "312-829-6173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE EYE CARE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARAI",
        "authorized_official_first_name": "SATPAL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-829-6173",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "01636791",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 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.