NPIMap

Organization Active NPI

Ziva Optical II, LTD.

  • Optometrist
  • Crystal Lake, IL
National Provider Identifier
1104957828
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
ZIVA OPTICAL II, LTD.
Practice address
4777 Northwest Hwy
Suite D
Crystal Lake, IL 60014-7340
Phone
(815) 477-8500
Fax
(815) 444-0591
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Mr. Rory K. Zimny
Title
President
Phone
(630) 921-0900

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

4777 Northwest Hwy
Suite D
Crystal Lake, IL 60014-7340

Mailing address

4777 Northwest Hwy
Suite D
Crystal Lake, IL 60014-7340
Phone (815) 477-8500

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

4777 N West Hwy
Crystal Lake, IL 60014
Phone (815) 477-8500

4777 Northwest Hwy
Ste D
Crystal Lake, IL 60014
Phone (815) 477-8500

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1104957828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4777 NORTHWEST HWY",
            "address_2": "SUITE D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147340",
            "telephone_number": "815-477-8500",
            "fax_number": "815-444-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4777 NORTHWEST HWY",
            "address_2": "SUITE D",
            "city": "CRYSTAL LAKE",
            "state": "IL",
            "postal_code": "600147340",
            "telephone_number": "815-477-8500",
            "fax_number": "815-444-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZIVA OPTICAL II, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "ZIMNY",
        "authorized_official_first_name": "RORY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-921-0900",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crystal Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.