NPIMap

Organization Active NPI

Dr. Kijowski & Assoc. Optometrists, P.C.

  • Optometrist
  • Melrose Park, IL
National Provider Identifier
1346442498
Registry record updated Dec 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-007952 Issued in IL
Legal business name
DR. KIJOWSKI & ASSOC. OPTOMETRISTS, P.C.
Practice address
1440 W North Ave Ste 108
Melrose Park, IL 60160-1428
Phone
(708) 344-7555
Fax
(708) 344-0293
NPI assigned
Jun 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2009

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

Authorized official

Name
Dr. Michael Kijowski, O.D.
Title
President
Phone
(708) 344-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-007952 IL Primary

Addresses

Primary practice location

1440 W North Ave Ste 108
Melrose Park, IL 60160-1428

Mailing address

1440 W North Ave Ste 108
Melrose Park, IL 60160-1428
Phone (708) 344-7555

National Provider Directory

National Provider Directory

Locations

1306 Winston Plz
Melrose Park, IL 60160
Phone (708) 344-7555

1440 W North Ave
Ste 108
Melrose Park, IL 60160
Phone (708) 344-7555

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1180656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1346442498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE STE 108",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601428",
            "telephone_number": "708-344-7555",
            "fax_number": "708-344-0293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 W NORTH AVE STE 108",
            "city": "MELROSE PARK",
            "state": "IL",
            "postal_code": "601601428",
            "telephone_number": "708-344-7555",
            "fax_number": "708-344-0293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. KIJOWSKI & ASSOC. OPTOMETRISTS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-01",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "KIJOWSKI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-344-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-007952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.