Active NPI
Kalladanthyil Eyes LTD.
- Optometrist
- Woodridge, IL
National Provider Identifier
1225581184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046.010960
- Legal business name
- KALLADANTHYIL EYES LTD.
- Practice address
- 2017 75TH St
Woodridge, IL 60517-2308 - Phone
- (630) 427-1000
- NPI assigned
- Jul 27, 2016
- Last updated
- Jul 27, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ann Sonia Kalladanthyil, O.D.
- Title
- Ceo/Optometrist
- Phone
- (813) 850-8440
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046.010960 | IL | Primary |
Addresses
Primary practice location
2017 75TH St
Woodridge, IL 60517-2308
Mailing address
3096 Drover LN
Darien, IL 60561-1640
Phone (813) 850-8440
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Optometrist
- Woodridge, IL
- NPI 1013243161
-
- Optometrist
- Woodridge, IL
- NPI 1326194101
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1469577600000",
"number": "1225581184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3096 DROVER LN",
"city": "DARIEN",
"state": "IL",
"postal_code": "605611640",
"telephone_number": "813-850-8440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2017 75TH ST",
"city": "WOODRIDGE",
"state": "IL",
"postal_code": "605172308",
"telephone_number": "630-427-1000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KALLADANTHYIL EYES LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2016-07-27",
"last_updated": "2016-07-27",
"status": "A",
"authorized_official_last_name": "KALLADANTHYIL",
"authorized_official_first_name": "ANN",
"authorized_official_middle_name": "SONIA",
"authorized_official_title_or_position": "CEO/OPTOMETRIST",
"authorized_official_telephone_number": "813-850-8440",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": "046.010960",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.