NPIMap

Organization Active NPI

Bridgeport Eye Care, LLC

Doing business as Miami Optical

  • Optometrist
  • Chicago, IL
National Provider Identifier
1144711243
Registry record updated Mar 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010771 Issued in IL
Legal business name
BRIDGEPORT EYE CARE, LLC
Doing business as
Miami Optical
Practice address
3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231
Phone
(773) 890-1100
NPI assigned
May 24, 2018
Last updated
Mar 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2026

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

Authorized official

Name
Dr. Avalon Hindman, ODNPI 1912314477
Title
President/ Owner
Phone
(773) 890-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010771 IL Primary

Addresses

Primary practice location

3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231

Mailing address

3125 S Ashland Ave Ste 204
Chicago, IL 60608-6231
Phone (773) 890-1100

Other identifiers 2

IdentifierTypeStateIssuer
1912314477OtherILOPTOMETRY NPI
046010771MedicaidIL

Other names 1

  • Miami Optical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180716002166 IL Part B Supplier - Clinic/Group Practice 9234486796 Receives reassigned benefits from 4 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

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": "1527120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1144711243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086231",
            "telephone_number": "773-890-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086231",
            "telephone_number": "773-890-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIDGEPORT EYE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-24",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "HINDMAN",
        "authorized_official_first_name": "AVALON",
        "authorized_official_title_or_position": "PRESIDENT/ OWNER",
        "authorized_official_telephone_number": "773-890-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTOMETRY NPI",
            "identifier": "1912314477",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046010771",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Optical",
            "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 Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.