Organization Active NPI

Rangel & Mosqueda, OD PC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1114252756
Registry record updated Oct 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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

Updated by the provider on Oct 15, 2009

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)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 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 Other name

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.