I.D. Optical, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010599 Issued in IL

Legal business name

I.D. OPTICAL, INC.

Practice address

3337 N Halsted St
Chicago, IL 60657-2694

Phone

(773) 755-4343

NPI assigned

May 15, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Anthony Almaguer

Title

Treasurer

Phone

(773) 755-4343

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.

• Gregory J Artim, OD

  • Optometrist
  • Chicago, IL
  • NPI 1780739862
  NPD (past)

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1336585454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3337 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3337 N HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572694",
            "telephone_number": "773-755-4343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "I.D. OPTICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "ALMAGUER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "773-755-4343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010599",
            "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 May 15, 2013; 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.