Active NPI
Chataam Optical LLC
- Ophthalmology Physician
- Chicago, IL
National Provider Identifier
1063987345
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- CHATAAM OPTICAL LLC
- Practice address
- 8741 S Greenwood Ave Ste 108
Chicago, IL 60619-7058 - Phone
- (773) 933-0276
- Fax
- (773) 933-0278
- NPI assigned
- Oct 12, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ontavius Perkins
- Title
- Owner
- Phone
- (773) 793-9723
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
8741 S Greenwood Ave Ste 108
Chicago, IL 60619-7058
Mailing address
8741 S Greenwood Ave Ste 108
Chicago, IL 60619-7058
Phone (773) 933-0276
National Provider Directory
National Provider DirectoryLocations
8741 S Greenwood Ave
Ste 108
Chicago, IL 60619
Phone (773) 933-0276
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539302400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1539302400000",
"number": "1063987345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8741 S GREENWOOD AVE STE 108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606197058",
"telephone_number": "773-933-0276",
"fax_number": "773-933-0278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8741 S GREENWOOD AVE STE 108",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606197058",
"telephone_number": "773-933-0276",
"fax_number": "773-933-0278"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHATAAM OPTICAL LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-12",
"last_updated": "2018-10-12",
"status": "A",
"authorized_official_last_name": "PERKINS",
"authorized_official_first_name": "ONTAVIUS",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "773-793-9723",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Oct 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.