Active NPI
Rangel & Mosqueda, OD PC
- Optometrist
- Chicago, IL
National Provider Identifier
1114252756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- RANGEL & MOSQUEDA, OD PC
- Practice address
- 111 N. Wabash Ave.
Suite 1911
Chicago, IL 60602-2967 - Phone
- (312) 782-9316
- Fax
- (312) 372-1957
- NPI assigned
- Oct 15, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Fernando Mosqueda, O.D.
- Title
- Co-Owner
- Phone
- (312) 782-9316
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
111 N. Wabash Ave.
Suite 1911
Chicago, IL 60602-2967
Mailing address
111 N. Wabash Ave.
Suite 1911
Chicago, IL 60602-2967
Phone (312) 782-9316
Other names 1
- R & M Optical
National Provider Directory
National Provider DirectoryLocations
111 N Wabash Ave
Ste 1911
Chicago, IL 60602
Phone (312) 368-9499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1255564800000",
"number": "1114252756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 N. WABASH AVE.",
"address_2": "SUITE 1911",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022967",
"telephone_number": "312-782-9316",
"fax_number": "312-372-1957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 N. WABASH AVE.",
"address_2": "SUITE 1911",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606022967",
"telephone_number": "312-782-9316",
"fax_number": "312-372-1957"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RANGEL & MOSQUEDA, OD PC",
"organizational_subpart": "NO",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A",
"authorized_official_last_name": "MOSQUEDA",
"authorized_official_first_name": "FERNANDO",
"authorized_official_title_or_position": "CO-OWNER",
"authorized_official_telephone_number": "312-782-9316",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "R & M Optical",
"code": "5",
"type": "Other Name"
}
]
}
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 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.