James Teraji and Assoc SC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-007746 Issued in IL

Legal business name

JAMES TERAJI AND ASSOC SC

Practice address

900 South RT. 83
Villa Park, IL 60181-7432

Phone

(630) 530-5303

Fax

(630) 530-1744

NPI assigned

Aug 28, 2009

Organization subpart

No

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

Authorized official

Name

James Thomas Teraji, O.D.

Title

President/Optometrist

Phone

(630) 530-5303

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251417600000",
    "number": "1215160940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 SOUTH RT 83",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601817432",
            "telephone_number": "630-530-5303",
            "fax_number": "630-530-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 SOUTH RT. 83",
            "city": "VILLA PARK",
            "state": "IL",
            "postal_code": "601817432",
            "telephone_number": "630-530-5303",
            "fax_number": "630-530-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES TERAJI AND ASSOC SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-28",
        "last_updated": "2009-08-28",
        "status": "A",
        "authorized_official_last_name": "TERAJI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "THOMAS",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "630-530-5303",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Alia Joseph, CMSW

• Optometrist in Villa Park, IL
• Providers in Villa Park, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2009; 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.