Organization Active NPI

Eyes Rite LTD.

  • Optometrist
  • Oak Park, IL
National Provider Identifier
1174651020
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYES RITE LTD.
Practice address
821 Garfield St
Oak Park, IL 60304-1902
Phone
(708) 386-1554
Fax
(708) 383-4175
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Nancy Jo Prybylo, OD
Title
Optometrist
Phone
(708) 386-1554

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X IL Primary

Addresses

Primary practice location

821 Garfield St
Oak Park, IL 60304-1902

Mailing address

821 Garfield St
Oak Park, IL 60304-1902
Phone (708) 386-1554

Other identifiers 2

IdentifierTypeStateIssuer
OP1098OtherILEYEMED
7083861554OtherILVSP

National Provider Directory

National Provider Directory

Locations

821 Garfield St
Oak Park, IL 60304
Phone (708) 386-1554

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174651020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "821 GARFIELD ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041902",
            "telephone_number": "708-386-1554",
            "fax_number": "708-383-4175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 GARFIELD ST",
            "city": "OAK PARK",
            "state": "IL",
            "postal_code": "603041902",
            "telephone_number": "708-386-1554",
            "fax_number": "708-383-4175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES RITE LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRYBYLO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "708-386-1554",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "OP1098",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "7083861554",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.