Active NPI
Fullerton Vision LLC
- Eyewear Supplier
- Chicago, IL
National Provider Identifier
1346713344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Legal business name
- FULLERTON VISION LLC
- Practice address
- 4959 W Fullerton Ave
Chicago, IL 60639-2505 - Phone
- (630) 340-8095
- Fax
- (888) 901-2240
- NPI assigned
- Jan 2, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Matthew R McNear
- Title
- Manager
- Phone
- (630) 340-8095
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4959 W Fullerton Ave
Chicago, IL 60639-2505
Mailing address
4959 W Fullerton Ave
Chicago, IL 60639-2505
Phone (630) 340-8095
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1546387200000",
"number": "1346713344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4959 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392505",
"telephone_number": "630-340-8095",
"fax_number": "888-901-2240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4959 W FULLERTON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606392505",
"telephone_number": "630-340-8095",
"fax_number": "888-901-2240"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FULLERTON VISION LLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-01-02",
"last_updated": "2019-01-02",
"status": "A",
"authorized_official_last_name": "MCNEAR",
"authorized_official_first_name": "MATTHEW",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "630-340-8095",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
- Fullerton Rehabilitation Center
- Fullerton Skilled Nursing Facility LLC (Avantara Lincoln Park)
- Fullerton Skilled Nursing Facility LLC (Avantara Lincoln Park)
- Fullerton Skilled Nursing Facility LLC (Avantara Lincoln Park)
- Fullerton Surgery Center LTD
- Pamela Fullerton, M.A., M.ED., LCPC
- Constance Anita Fullilove, PH.D.
- Rodney M Fullmer, D.O.
- Fullsmile Family Dentist
- Judy Ann Fulop, ND
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.