Organization Active NPI

Chataam Optical LLC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1063987345
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on Oct 12, 2018

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.