Chicagoland Vision Consultants

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

CHICAGOLAND VISION CONSULTANTS

Practice address

1375 N Meacham Rd
Optical Dept - Doctor's Office
Schaumburg, IL 60173-4805

Phone

(847) 969-0867

Fax

(847) 496-9089

NPI assigned

Jan 28, 2008

Last updated

Mar 13, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Michael A. Slusky, O.D.

Title

President

Phone

(847) 477-5612

Specialties & licenses 6

Addresses

Tax ID family

Chicagoland Vision Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Chicagoland Vision Consultants, Inc

  • Optometrist
  • Schaumburg, IL
  • NPI 1700063252
  NPD tax ID

Locations

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

{
    "created_epoch": "1201478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205366400000",
    "number": "1063699510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2746 N CLYBOURN AVE",
            "address_2": "OPTICAL DEPT - DOCTOR'S OFFICE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141006",
            "telephone_number": "773-360-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 N MEACHAM RD",
            "address_2": "OPTICAL DEPT - DOCTOR'S OFFICE",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601734805",
            "telephone_number": "847-969-0867",
            "fax_number": "847-496-9089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGOLAND VISION CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-28",
        "last_updated": "2008-03-13",
        "status": "A",
        "authorized_official_last_name": "SLUSKY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-477-5612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2008; 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.