Active NPI
Chris Schmidt
- Occupational Vision Optometrist
- Johnsburg, IL
National Provider Identifier
1285097089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Vision Optometrist
- License
- 225 ILCS 75
- Practice address
- 4809 Promontory LN
Johnsburg, IL 60051-7672 - Phone
- (815) 344-3053
- NPI assigned
- Mar 30, 2016
- Last updated
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Vision Optometrist | 152WX0102X | 225 ILCS 75 | IL | Primary |
Addresses
Primary practice location
4809 Promontory LN
Johnsburg, IL 60051-7672
Mailing address
4809 Promontory LN
Johnsburg, IL 60051-7672
Phone (815) 474-4262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225 ILCS 75 | IL | MD | Occupational Vision Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459296000000",
"number": "1285097089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4809 PROMONTORY LN",
"city": "JOHNSBURG",
"state": "IL",
"postal_code": "600517672",
"telephone_number": "815-474-4262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4809 PROMONTORY LN",
"city": "JOHNSBURG",
"state": "IL",
"postal_code": "600517672",
"telephone_number": "815-344-3053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHMIDT",
"first_name": "CHRIS",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2016-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "152WX0102X",
"taxonomy_group": "",
"desc": "Optometrist, Occupational Vision",
"state": "IL",
"license": "225 ILCS 75",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Johnsburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 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.