Vision Centers of America

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010791 Issued in IL

Legal business name

VISION CENTERS OF AMERICA

Practice address

8780 W Golf Rd
Niles, IL 60714-5602

Phone

(847) 768-1900

NPI assigned

Sep 29, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Banna, O.D.

Title

Optometrist

Phone

(773) 678-1269

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1443484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443484800000",
    "number": "1184094427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145602",
            "telephone_number": "847-768-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8780 W GOLF RD",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607145602",
            "telephone_number": "847-768-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-29",
        "last_updated": "2015-09-29",
        "status": "A",
        "authorized_official_last_name": "BANNA",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "773-678-1269",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village of Niles
• Sandra Villatoro
• Vina Dental LTD
• Kimberly Vincent, PT, DPT
• Vintage Staffing Inc.
• Visionworks Inc
• Visionworks, Inc.
• Vital Link Physician Group PLLC
• Jill Marie Waegenaere, M.A.
• Krystyna Wagenhejm-Ciesielski

• All providers in Niles, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2015; 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.