Organization Active NPI

Anita Han Optometry, LLC

  • Optometrist
  • Riverwoods, IL
National Provider Identifier
1285873711
Registry record updated Jan 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010088 Issued in IL
Legal business name
ANITA HAN OPTOMETRY, LLC
Practice address
2013 Milwaukee Ave
Riverwoods, IL 60015-3581
Phone
(224) 676-1022
Fax
(224) 676-2050
NPI assigned
Feb 6, 2009
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Anita Mi-Young Han, O.D.
Title
President
Phone
(224) 676-1022

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory
Tax ID family
Anita Han Optometry LLC (2 organizations share this tax ID)

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010088 IL Primary

Addresses

NPPES NPI Registry

Primary practice location

2013 Milwaukee Ave
Riverwoods, IL 60015-3581

Mailing address

1101 S State St
Unit 1402
Chicago, IL 60605-3175
Phone (847) 452-9188

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
1780846147OtherILDEPARTMENT OF HEALTH AND HUMAN SERVICES

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 25, 2018.

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1516838400000",
    "number": "1285873711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 S STATE ST",
            "address_2": "UNIT 1402",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053175",
            "telephone_number": "847-452-9188",
            "fax_number": "847-537-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2013 MILWAUKEE AVE",
            "city": "RIVERWOODS",
            "state": "IL",
            "postal_code": "600153581",
            "telephone_number": "224-676-1022",
            "fax_number": "224-676-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANITA HAN OPTOMETRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-06",
        "last_updated": "2018-01-25",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "ANITA",
        "authorized_official_middle_name": "MI-YOUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-676-1022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010088",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "1780846147",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverwoods, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2018; 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.