Active NPI
R a Vision Corporation
Doing business as Uptown Family Vision
- Optometrist
- Park Ridge, IL
National Provider Identifier
1255172334
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- R A VISION CORPORATION
- Doing business as
- Uptown Family Vision
- Practice address
- 118 Main St
Park Ridge, IL 60068-4030 - Phone
- (847) 696-6444
- NPI assigned
- Jun 4, 2024
- Last updated
- Jun 4, 2024
- 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
- R P
- Title
- OD
- Phone
- (847) 696-6444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
118 Main St
Park Ridge, IL 60068-4030
Mailing address
118 Main St
Park Ridge, IL 60068-4030
Other names 1
- Uptown Family Vision
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
118 Main St
Park Ridge, IL 60068
Phone (847) 696-6444
Practitioners & affiliated clinicians
Practitioners 4
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
- Chicago, IL
- NPI 1972759363
-
- Optometrist
- Chicago, IL
- NPI 1407004724
-
- Optometrist
- Chicago Heights, IL
- NPI 1902335391
-
- Optometrist
- Park Ridge, IL
- NPI 1487967105
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717459200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717459200000",
"number": "1255172334",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "118 MAIN ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "118 MAIN ST",
"city": "PARK RIDGE",
"state": "IL",
"postal_code": "600684030",
"telephone_number": "847-696-6444"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "R A VISION CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-04",
"last_updated": "2024-06-04",
"certification_date": "2024-06-04",
"status": "A",
"authorized_official_last_name": "P",
"authorized_official_first_name": "R",
"authorized_official_title_or_position": "OD",
"authorized_official_telephone_number": "847-696-6444"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Uptown Family Vision",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Park Ridge, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.