Eyepothecary

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

04739116 Issued in IL

Legal business name

EYEPOTHECARY

Practice address

1726 W Chicago Ave
Chicago, IL 60622-5000

Phone

(773) 782-1744

Fax

(312) 733-1744

NPI assigned

Sep 30, 2016

Organization subpart

No

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

Authorized official

Name

Ms. Annette Elaine Sollars III, OPTICIAN

Title

President

Phone

(773) 782-1744

Specialties & licenses 1

Addresses

Other names 1

• E3llc Doing business as

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475193600000",
    "number": "1174072276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1726 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225000",
            "telephone_number": "773-782-1744",
            "fax_number": "312-733-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1726 W CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606225000",
            "telephone_number": "773-782-1744",
            "fax_number": "312-733-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEPOTHECARY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-30",
        "last_updated": "2016-09-30",
        "status": "A",
        "authorized_official_last_name": "SOLLARS",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-782-1744",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IL",
            "license": "04739116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "E3llc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Prosthetic/Orthotic Supplier in Chicago, IL
• Providers in Chicago, IL by specialty
• Prosthetic/Orthotic Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2016; 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.