CLC Vision LLC

Primary specialty

Corneal and Contact Management OptometristTaxonomy code 152WC0802X

Legal business name

CLC VISION LLC

Practice address

7317 W 25TH Street
North Riverside, IL 60546

Phone

(708) 442-8899

Fax

(708) 442-9466

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Colby Lee Carter, O.D.

Title

Owner

Phone

(708) 442-8899

Specialties & licenses 1

Addresses

Other names 1

• American Vision Center Doing business as

Locations

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1235288564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7317 W 25TH STREET",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-442-8899",
            "fax_number": "708-442-9466"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7317 W 25TH STREET",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "60546",
            "telephone_number": "708-442-8899",
            "fax_number": "708-442-9466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLC VISION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "COLBY",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-442-8899",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152WC0802X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Corneal and Contact Management Optometrist in North Riverside, IL
• Providers in North Riverside, IL by specialty
• Corneal and Contact Management Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.