Organization Active NPI

Optical Expressions, Inc.

  • Optometrist
  • Wheaton, IL
National Provider Identifier
1356588511
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046007064 Issued in IL
Legal business name
OPTICAL EXPRESSIONS, INC.
Practice address
160 Danada SQ W
Wheaton, IL 60189-2041
Phone
(630) 752-0595
Fax
(630) 752-0145
NPI assigned
Jan 9, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Richard Mital, A.B.O.C.
Title
President
Phone
(630) 752-0595

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046007064 IL Primary

Addresses

Primary practice location

160 Danada SQ W
Wheaton, IL 60189-2041

Mailing address

160 Danada SQ W
Wheaton, IL 60189-2041
Phone (630) 752-0595

National Provider Directory

National Provider Directory

Locations

337 Rice Lake Sq
Wheaton, IL 60189
Phone (630) 752-0595

160 Danada Sq W
Wheaton, IL 60189
Phone (630) 752-0595

NPI Registry JSON

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

{
    "created_epoch": "1231459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1356588511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DANADA SQ W",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892041",
            "telephone_number": "630-752-0595",
            "fax_number": "630-752-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DANADA SQ W",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892041",
            "telephone_number": "630-752-0595",
            "fax_number": "630-752-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL EXPRESSIONS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-09",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "MITAL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "630-752-0595",
        "authorized_official_credential": "A.B.O.C."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.