Organization Active NPI

Edens Opticians, Inc.

  • Eyewear Supplier
  • Oak Lawn, IL
National Provider Identifier
1316168727
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
EDENS OPTICIANS, INC.
Practice address
5569 W 95TH St
Oak Lawn, IL 60453-2356
Phone
(708) 499-3656
Fax
(773) 238-5277
NPI assigned
May 1, 2007
Last updated
Jan 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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

Authorized official

Name
Mr. Harry L. Edens Jr.
Title
Owner
Phone
(708) 499-3656

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X NU Primary

Addresses

Primary practice location

5569 W 95TH St
Oak Lawn, IL 60453-2356

Mailing address

5569 W 95TH St
Oak Lawn, IL 60453-2356
Phone (708) 499-3656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1316168727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5569 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532356",
            "telephone_number": "708-499-3656",
            "fax_number": "773-238-5277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5569 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604532356",
            "telephone_number": "708-499-3656",
            "fax_number": "773-238-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDENS OPTICIANS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-01",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "EDENS",
        "authorized_official_first_name": "HARRY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-499-3656",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.