Organization Active NPI

New Vision Optical

  • Customized Equipment (DME)
  • Wilmette, IL
National Provider Identifier
1194719112
Registry record updated Sep 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
1935 Issued in IL
Legal business name
NEW VISION OPTICAL
Practice address
120 Skokie Blvd
Wilmette, IL 60091-3050
Phone
(847) 251-3330
Fax
(847) 251-9580
NPI assigned
Sep 6, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2007

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

Authorized official

Name
Mr. Alberto Antman
Title
President
Phone
(847) 251-3330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X 1935 IL Primary

Addresses

Primary practice location

120 Skokie Blvd
Wilmette, IL 60091-3050

Mailing address

24081 Flint Creek Dr
Lake Barrington, IL 60010-1581
Phone (847) 251-3330

National Provider Directory

National Provider Directory

Locations

120 Skokie Blvd
Wilmette, IL 60091
Phone (847) 251-3330

NPI Registry JSON

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

{
    "created_epoch": "1125964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190851200000",
    "number": "1194719112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24081 FLINT CREEK DR",
            "city": "LAKE BARRINGTON",
            "state": "IL",
            "postal_code": "600101581",
            "telephone_number": "847-251-3330",
            "fax_number": "847-251-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 SKOKIE BLVD",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600913050",
            "telephone_number": "847-251-3330",
            "fax_number": "847-251-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW VISION OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-06",
        "last_updated": "2007-09-27",
        "status": "A",
        "authorized_official_last_name": "ANTMAN",
        "authorized_official_first_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-251-3330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "IL",
            "license": "1935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmette, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2007; 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.