Organization Active NPI

Ostoich Optical

  • Optometrist
  • Chicago, IL
National Provider Identifier
1205058963
Registry record updated May 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
060008860 Issued in IL
Legal business name
OSTOICH OPTICAL
Practice address
7447 W Talcott Ave
#300
Chicago, IL 60631-3745
Phone
(773) 631-2980
Fax
(773) 631-2842
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2008

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

Authorized official

Name
Brent G. Otoich, OD
Title
Physician Owner
Phone
(773) 631-2980

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 060008860 IL Primary

Addresses

Primary practice location

7447 W Talcott Ave
#300
Chicago, IL 60631-3745

Mailing address

7447 W Talcott Ave
#300
Chicago, IL 60631-3745
Phone (773) 631-2980

National Provider Directory

National Provider Directory

Locations

7447 W Talcott Ave
Ste 300
Chicago, IL 60631
Phone (773) 631-2980

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1210550400000",
    "number": "1205058963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "#300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-631-2980",
            "fax_number": "773-631-2842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7447 W TALCOTT AVE",
            "address_2": "#300",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606313745",
            "telephone_number": "773-631-2980",
            "fax_number": "773-631-2842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSTOICH OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-05-12",
        "status": "A",
        "authorized_official_last_name": "OTOICH",
        "authorized_official_first_name": "BRENT",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "773-631-2980",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060008860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2008; 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.