Active NPI
Christian Optical
Doing business as None
- Eyewear Supplier
- Downers Grove, IL
National Provider Identifier
1073921003
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- CHRISTIAN OPTICAL
- Doing business as
- None
- Practice address
- 446 75TH St
Downers Grove, IL 60516-4454 - Phone
- (331) 333-0606
- Fax
- (331) 333-0606
- NPI assigned
- Jul 22, 2014
- Organization subpart
- Yes
- Parent organization
- CHRISITAN OPTICAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Natalie Tracy Asante, OPTICAN
- Title
- Owner/ Manager
- Phone
- (331) 333-0606
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | IL | Primary |
Addresses
Primary practice location
446 75TH St
Downers Grove, IL 60516-4454
Mailing address
446 75TH St
Downers Grove, IL 60516-4454
Phone (331) 333-0606
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346651940 | Other | IL | PERSONAL NPI |
Other names 1
- NONE
National Provider Directory
National Provider Directory- Part of
- Christian Optical
Locations
446 75th St
Downers Grove, IL 60516
Phone (331) 333-0606
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optician
- Downers Grove, IL
- NPI 1346651940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405987200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1073921003",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "446 75TH ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164454",
"telephone_number": "331-333-0606",
"fax_number": "331-333-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "446 75TH ST",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "605164454",
"telephone_number": "331-333-0606",
"fax_number": "331-333-0606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTIAN OPTICAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CHRISITAN OPTICAL",
"enumeration_date": "2014-07-22",
"last_updated": "2022-07-21",
"status": "A",
"authorized_official_last_name": "ASANTE",
"authorized_official_first_name": "NATALIE",
"authorized_official_middle_name": "TRACY",
"authorized_official_title_or_position": "OWNER/ MANAGER",
"authorized_official_telephone_number": "331-333-0606",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "OPTICAN"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1346651940",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NONE",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.