Medical Optometry Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009687 Issued in IL

Legal business name

MEDICAL OPTOMETRY INC.

Practice address

12690 S Route 59
Plainfield, IL 60585-5412

Phone

(215) 432-7729

Fax

(713) 436-4620

NPI assigned

Jan 23, 2009

Organization subpart

No

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

Authorized official

Name

Neetu Chawla, O.D.

Title

Ceo

Phone

(215) 432-7729

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1232668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233100800000",
    "number": "1164660569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 ALEXANDER DR",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604904947",
            "telephone_number": "215-432-7729",
            "fax_number": "713-436-4620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12690 S ROUTE 59",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605855412",
            "telephone_number": "215-432-7729",
            "fax_number": "713-436-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL OPTOMETRY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-23",
        "last_updated": "2009-01-28",
        "status": "A",
        "authorized_official_last_name": "CHAWLA",
        "authorized_official_first_name": "NEETU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "215-432-7729",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex E McKibbin, M.S., LCPC
• Amber McMahon, PSY.D., LCPC
• Heidi S McMahon, SLP
• Amy Corinne McNeal, CCC-SLP
• Medical Connections
• Thomas Patrick Meehan Jr., D.C.
• Deborah Stearman Meeker, LCSW
• Megan Pullos Ma, CCC-SLP/L, LLC
• Meijer Great Lakes Limited Partnership (Meijer Pharmacy #214)
• Helen H Meil, JD, LCPC, CADC

• Optometrist in Plainfield, IL
• Providers in Plainfield, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.