Organization Active NPI

Valencia M Ray MD SC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1275758260
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
VALENCIA M RAY MD SC
Practice address
8541 S State St
Suite 5
Chicago, IL 60619-5665
Phone
(773) 873-0052
Fax
(773) 873-0054
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Valencia Ray, MD
Title
Physician Owner
Phone
(630) 251-3822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X IL Primary

Addresses

Primary practice location

8541 S State St
Suite 5
Chicago, IL 60619-5665

Mailing address

8541 S State St
Suite 5
Chicago, IL 60619-5665
Phone (773) 873-0052

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275758260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 S STATE ST",
            "address_2": "SUITE 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195665",
            "telephone_number": "773-873-0052",
            "fax_number": "773-873-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 S STATE ST",
            "address_2": "SUITE 5",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606195665",
            "telephone_number": "773-873-0052",
            "fax_number": "773-873-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA M RAY MD SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "VALENCIA",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "630-251-3822",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • 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.