Joseph N Mangiardi PC

Primary specialty

Eyewear SupplierTaxonomy code 332H00000X

License

1971-8624 Issued in IL

Legal business name

JOSEPH N MANGIARDI PC

Doing business as

American Vision Center

Practice address

8530 N 2ND St
Machesney Park, IL 61115-2414

Phone

(815) 654-7777

Fax

(815) 654-7902

NPI assigned

Apr 14, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Joseph N. Mangiardi, OPTOMETRIST

Title

President

Phone

(815) 654-7777

Specialties & licenses 1

Addresses

Other names 1

• American Vision Center Doing business as

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

{
    "created_epoch": "1208131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283904000000",
    "number": "1376717157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8530 N 2ND ST",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152414",
            "telephone_number": "815-654-7777",
            "fax_number": "815-654-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8530 N 2ND ST",
            "city": "MACHESNEY PARK",
            "state": "IL",
            "postal_code": "611152414",
            "telephone_number": "815-654-7777",
            "fax_number": "815-654-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH N MANGIARDI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-14",
        "last_updated": "2010-09-08",
        "status": "A",
        "authorized_official_last_name": "MANGIARDI",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-654-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OPTOMETRIST"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "1971-8624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "American Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• James P. Hulsebus
• Mary Kathleen Javurek Lee, DT/DTH
• Jandi Jo Jenkins, LPN
• Steven Lee Johnson, RPH
• Jennifer Powers Jones, PHARMD
• Kenneth M Lutsch,DDS,LTD
• Khulan Khuchitbaatar, OD
• Perri Killam, PHARMD
• Rachel Kinison, LCPC, LMHC
• Brant Montgomery Kitto, RPH

• Eyewear Supplier in Machesney Park, IL
• Providers in Machesney Park, IL by specialty
• Eyewear Supplier in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.