Organization Active NPI

312 Optical LTD

Doing business as University Village Eye Center

  • Optometrist
  • Chicago, IL
National Provider Identifier
1093839102
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
312 OPTICAL LTD
Doing business as
University Village Eye Center
Practice address
1116 W Taylor St
Chicago, IL 60607-4214
Phone
(312) 829-6173
Fax
(312) 829-3504
NPI assigned
Mar 16, 2007
Last updated
Aug 22, 2020By the provider in NPPES
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. Pepsi Satpal Sarai, O.D.NPI 1366504763
Title
President
Phone
(312) 829-6173

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 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 names 1

  • University Village Eye Center Doing business as

National Provider Directory

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093839102",
    "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",
            "fax_number": "312-829-3504"
        },
        {
            "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",
            "fax_number": "312-829-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "312 OPTICAL LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SARAI",
        "authorized_official_first_name": "PEPSI",
        "authorized_official_middle_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": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "University Village Eye Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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.