The Optical Place LTD

Primary specialty

OptometristTaxonomy code 152W00000X

License

047-047825 Issued in IL

Legal business name

THE OPTICAL PLACE LTD

Practice address

4401 W 63Rd St
Chicago, IL 60629-5530

Phone

(773) 838-8245

Fax

(773) 284-8746

NPI assigned

Feb 15, 2007

Last updated

Jul 12, 2011By 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

Dr. Thomas E Hines, O.D.NPI 1952626988

Title

President

Phone

(773) 838-8245

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Thomas E Hines, O.D.

  • Optometrist
  • Midlothian, IL
  • NPI 1952626988
  NPD (past) Authorized official

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310428800000",
    "number": "1326181512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295530",
            "telephone_number": "773-838-8245",
            "fax_number": "773-284-8746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 W 63RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606295530",
            "telephone_number": "773-838-8245",
            "fax_number": "773-284-8746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE OPTICAL PLACE LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2011-07-12",
        "status": "A",
        "authorized_official_last_name": "HINES",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-838-8245",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "047-047825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2011; 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.