Eagle Optical, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

EAGLE OPTICAL, INC.

Practice address

2755 Indiana Ave
Lansing, IL 60438-2225

Phone

(708) 474-3500

Fax

(708) 474-3556

NPI assigned

Jun 19, 2007

Organization subpart

No

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

Authorized official

Name

Mr. James Novak

Title

President

Phone

(708) 474-3500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104021179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 INDIANA AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382225",
            "telephone_number": "708-474-3500",
            "fax_number": "708-474-3556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 INDIANA AVE",
            "city": "LANSING",
            "state": "IL",
            "postal_code": "604382225",
            "telephone_number": "708-474-3500",
            "fax_number": "708-474-3556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-474-3500",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela K Dugo-Munizzi, FNP-BC
• Tiffany Dunlap
• Rhiannon Amber Duran, CCC-SLP/L
• Danae Durham
• Timothy K Durnin, D.C.
• Eagle Optical, Inc.
• Maryann Ebom, DNP, PMHNP, FNP
• Donna Edmonson
• Tiffany Gae Edwards
• Elaris Home Care Service LLC

• Eyewear Supplier in Lansing, IL
• Providers in Lansing, IL by specialty
• Eyewear Supplier in Illinois

• 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.