Active NPI
James a Vitale O.D., P.C.
- Optometrist
- Addison, IL
National Provider Identifier
1184978553
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- JAMES A VITALE O.D., P.C.
- Practice address
- 1600 W Lake St
Suite 106
Addison, IL 60101-1822 - Phone
- (630) 773-9410
- NPI assigned
- Nov 6, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Denise Vitale
- Title
- Office Manager
- Phone
- (630) 251-8438
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
1600 W Lake St
Suite 106
Addison, IL 60101-1822
Mailing address
1600 W Lake St
Suite 106
Addison, IL 60101-1822
Phone (630) 773-9410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1600 W Lake St
Ste 106
Addison, IL 60101
Phone (630) 773-9410
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Addison, IL
- NPI 1609962570
-
- Optometrist
- Addison, IL
- NPI 1164290516
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352160000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352160000000",
"number": "1184978553",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W LAKE ST",
"address_2": "SUITE 106",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011822",
"telephone_number": "630-773-9410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W LAKE ST",
"address_2": "SUITE 106",
"city": "ADDISON",
"state": "IL",
"postal_code": "601011822",
"telephone_number": "630-773-9410"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAMES A VITALE O.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-06",
"last_updated": "2012-11-06",
"status": "A",
"authorized_official_last_name": "VITALE",
"authorized_official_first_name": "DENISE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "630-251-8438"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.