Organization Active NPI

Birch Optical

  • Eyewear Supplier
  • Chicago, IL
National Provider Identifier
1386965838
Registry record updated Jun 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
Legal business name
BIRCH OPTICAL
Practice address
5493 N. Milwaukee Ave.
Chicago, IL 60630-1249
Phone
(773) 775-3300
Fax
(773) 775-3313
NPI assigned
Jun 18, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2010

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

Authorized official

Name
Mr. Paul D. Birch
Title
President/Optician
Phone
(773) 775-3300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X Primary

Addresses

Primary practice location

5493 N. Milwaukee Ave.
Chicago, IL 60630-1249

Mailing address

5493 N Milwaukee Ave
Chicago, IL 60630-1249
Phone (773) 775-3300

National Provider Directory

National Provider Directory

Locations

5493 N Milwaukee Ave
Chicago, IL 60630
Phone (773) 775-3300

NPI Registry JSON

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

{
    "created_epoch": "1276819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276819200000",
    "number": "1386965838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5493 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301249",
            "telephone_number": "773-775-3300",
            "fax_number": "773-775-3313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5493 N. MILWAUKEE AVE.",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606301249",
            "telephone_number": "773-775-3300",
            "fax_number": "773-775-3313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRCH OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-18",
        "last_updated": "2010-06-18",
        "status": "A",
        "authorized_official_last_name": "BIRCH",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT/OPTICIAN",
        "authorized_official_telephone_number": "773-775-3300",
        "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 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.