Plyam of Chicago Ridge

Primary specialty

OpticianTaxonomy code 156FX1800X

Legal business name

PLYAM OF CHICAGO RIDGE

Doing business as

pearle vision of chicago ridge

Practice address

220 Chicago Ridge Mall
Chicago Ridge, IL 60415-2636

Phone

(708) 636-5684

NPI assigned

Mar 30, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Tatyana Lalayan, BS

Title

Group Manager of Pearle Vision

Phone

(847) 832-0073

Specialties & licenses 1

Addresses

Other names 1

• pearle vision of chicago ridge Doing business as

Locations

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

{
    "created_epoch": "1175212800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1326168378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2305 WILLOW RD",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257637",
            "telephone_number": "847-832-0073",
            "fax_number": "847-832-0074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 CHICAGO RIDGE MALL",
            "city": "CHICAGO RIDGE",
            "state": "IL",
            "postal_code": "604152636",
            "telephone_number": "708-636-5684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLYAM OF CHICAGO RIDGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LALAYAN",
        "authorized_official_first_name": "TATYANA",
        "authorized_official_title_or_position": "GROUP MANAGER  OF PEARLE VISION",
        "authorized_official_telephone_number": "847-832-0073",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "pearle vision of chicago ridge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Optician in Chicago Ridge, IL
• Providers in Chicago Ridge, IL by specialty
• Optician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.