Prism Optics, Inc.

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

Legal business name

PRISM OPTICS, INC.

Doing business as

Prism Optical

Practice address

3594 N Milwaukee Ave
Chicago, IL 60641-3959

Phone

(773) 205-6210

Fax

(773) 205-6487

NPI assigned

Apr 10, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Darlene Becerra

Title

Secretary

Phone

(773) 205-6447

Specialties & licenses 1

Addresses

Other names 1

• Prism Optical Doing business as

Locations

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1326161506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3594 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413959",
            "telephone_number": "773-205-6210",
            "fax_number": "773-205-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3594 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606413959",
            "telephone_number": "773-205-6210",
            "fax_number": "773-205-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISM OPTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BECERRA",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "773-205-6447",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prism Optical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.