Pulaski Vision Center LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009715 Issued in IL

Legal business name

PULASKI VISION CENTER LLC

Practice address

5153 S Pulaski Rd Unit B
Chicago, IL 60632-4219

Phone

(773) 284-9844

Fax

(773) 284-9862

NPI assigned

Jul 8, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Samir Patel, ODNPI 1841334273

Title

Manager

Phone

(773) 284-9844

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

Practitioners 2

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

• Samir Patel, O.D.

  • Optometrist
  • Countryside, IL
  • NPI 1841334273
  NPD Authorized official
• Ketan K Sheladia, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1982746848
  NPD (past)

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597968000000",
    "number": "1215190384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5153 S PULASKI RD UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324219",
            "telephone_number": "773-284-9844",
            "fax_number": "773-284-9862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5153 S PULASKI RD UNIT B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606324219",
            "telephone_number": "773-284-9844",
            "fax_number": "773-284-9862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PULASKI VISION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-08",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SAMIR",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "773-284-9844",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pulaski Dental Center P.C
• Pulaski Road Dentistry PLLC
• Pulaski Smiling Dental P.C.
• Pulaski Universal Dental LLC
• Pulaski Universal Dental LLC
• Mark Pulaski
• Kenneth Puleikis
• Lidiane Puleikis
• Alessandra Kay Puleo, APRN-PNP
• Briana Pulia, DNP, FNP-BC

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.