Superior Optical Service Inc

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

0893-5254 Issued in IL

Legal business name

SUPERIOR OPTICAL SERVICE INC

Practice address

2723 Pfingsten Rd
Glenview, IL 60026-1152

Phone

(847) 564-3838

NPI assigned

Apr 1, 2008

Organization subpart

No

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

Authorized official

Name

Mr. Randall William Kramer

Title

Owner/Manager

Phone

(847) 564-3838

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222905600000",
    "number": "1295907020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261152",
            "telephone_number": "847-564-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2723 PFINGSTEN RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600261152",
            "telephone_number": "847-564-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPERIOR OPTICAL SERVICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-10-02",
        "status": "A",
        "authorized_official_last_name": "KRAMER",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "847-564-3838",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "0893-5254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ellen Sullivan, OTR/L
• Thomas Roger Sultan, MD
• Deanne Zoe Sundstrom, MA CCC SLP L
• Super Dental Family Center
• Superior Optical LLC
• Susan a Swidler OT LTD
• Susan L. Kim Medical Associates PLLC
• Suzanne B. Yellen, PH.D., P.C.
• Suzanne Pachtman
• Andrea Lynn Svoboda, OTR/L

• Eyewear Supplier in Glenview, IL
• Providers in Glenview, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.