M&M Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.006948 Issued in IL

Legal business name

M&M OPTICAL INC

Practice address

18234 Halsted St
Homewood, IL 60430-2508

Phone

(708) 798-7711

Fax

(708) 798-1349

NPI assigned

Feb 7, 2007

Organization subpart

No

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

Authorized official

Name

Mark B Busch, OD

Title

President

Phone

(708) 482-7744

Specialties & licenses 1

Addresses

Other names 1

• Pearle Vision Doing business as

Locations

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309478400000",
    "number": "1265572465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1741 PINEHURST LN",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604221964",
            "telephone_number": "708-799-0920",
            "fax_number": "708-798-1349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18234 HALSTED ST",
            "city": "HOMEWOOD",
            "state": "IL",
            "postal_code": "604302508",
            "telephone_number": "708-798-7711",
            "fax_number": "708-798-1349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "M&M OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-07",
        "last_updated": "2011-07-01",
        "status": "A",
        "authorized_official_last_name": "BUSCH",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-482-7744",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.006948",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Luxottica of America Inc
• Taraysha Lyles
• Michelle Ann Lynch, OD
• Jamila Lyons, NCC, LPC
• David E Lyseng, D.C.
• Charis Madison
• Benita Franchon Madry
• Danielle Magas, PHARMD
• Debra Majewski, LCPC
• Nour Malak, D.N.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; 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.