NPIMap

Organization Active NPI

Eddy Skokie Optical Inc

  • Optometrist
  • Skokie, IL
National Provider Identifier
1285804369
Registry record updated Oct 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
047928740 Issued in IL
Legal business name
EDDY SKOKIE OPTICAL INC
Practice address
8035 N Lincoln Ave
Skokie, IL 60077-3612
Phone
(847) 679-1775
Fax
(847) 679-4231
NPI assigned
Mar 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2008

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

Authorized official

Name
Miss Edgard Leguizamon
Title
Optician
Phone
(847) 679-1775

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 047928740 IL Primary

Addresses

Primary practice location

8035 N Lincoln Ave
Skokie, IL 60077-3612

Mailing address

8035 N Lincoln Ave
Skokie, IL 60077-3612
Phone (847) 679-1775

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1204675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1285804369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8035 N LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773612",
            "telephone_number": "847-679-1775",
            "fax_number": "847-679-4231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8035 N LINCOLN AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773612",
            "telephone_number": "847-679-1775",
            "fax_number": "847-679-4231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDDY SKOKIE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-05",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "LEGUIZAMON",
        "authorized_official_first_name": "EDGARD",
        "authorized_official_title_or_position": "OPTICIAN",
        "authorized_official_telephone_number": "847-679-1775",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "047928740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; 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.