Vidulich, Blase & Valentino, P.C.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

VIDULICH, BLASE & VALENTINO, P.C.

Practice address

1730 W Fullerton Ave
Chicago, IL 60614-1900

Phone

(773) 327-3000

Fax

(773) 327-3012

NPI assigned

Aug 22, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Spencer P Vidulich, O.D.

Title

Owner

Phone

(773) 327-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PEARLE EXPRESS Doing business as

Tax ID family

Pearle Express2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Vidulich, Blase & Valentino, P.C.

  • Optometrist
  • Chicago, IL
  • NPI 1568443257
  NPD tax ID

Locations

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

{
    "created_epoch": "1187740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1164615225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 W FULLERTON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606141900",
            "telephone_number": "773-327-3000",
            "fax_number": "773-327-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIDULICH, BLASE & VALENTINO, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-22",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "VIDULICH",
        "authorized_official_first_name": "SPENCER",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-327-3000",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "958640",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PEARLE EXPRESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ariana G. Vidana
• Yaritza Vidaurre, MSW
• Paris Videka
• Marina Vidovic, M.D.
• Mladen Vidovich, M.D.
• Vidulich, Blase & Valentino, P.C.
• Spencer Paul Vidulich, O.D.
• Dharmapuri Vidyasagar
• Matthew Vieira
• Ilse Alejandra Vielma, M.ED.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2007; 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.