Organization Active NPI

Eyedoc Sunshine LLC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1205534765
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
EYEDOC SUNSHINE LLC
Practice address
1430 S Ashland Ave
Chicago, IL 60608-2040
Phone
(312) 270-8988
Fax
(312) 416-1133
NPI assigned
Feb 22, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Authorized official

Name
Kai Lai Chu, ODNPI 1205446358
Title
Optometrist
Phone
(312) 270-8988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1430 S Ashland Ave
Chicago, IL 60608-2040

Mailing address

1430 South Ashland Avenue
Optometry Dept Within
Chicago, IL 60608
Phone (312) 270-8988

National Provider Directory

National Provider Directory

Locations

1430 S Ashland Ave
Chicago, IL 60608
Phone (312) 270-8988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1677024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686268800000",
    "number": "1205534765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SOUTH ASHLAND AVENUE",
            "address_2": "OPTOMETRY DEPT WITHIN",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "312-270-8988",
            "fax_number": "312-416-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 S ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606082040",
            "telephone_number": "312-270-8988",
            "fax_number": "312-416-1133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYEDOC SUNSHINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A",
        "authorized_official_last_name": "CHU",
        "authorized_official_first_name": "KAI LAI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "312-270-8988",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "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 Jun 9, 2023; 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.