Family Eyecare Alexis E Scatchell OD

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

FAMILY EYECARE ALEXIS E SCATCHELL OD

Practice address

5355 W Devon Ave
Chicago, IL 60646-4142

Phone

(773) 930-4035

NPI assigned

May 11, 2017

Last updated

Feb 22, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Alexandria E ScatchellNPI 1992848071

Title

Authorized Official

Phone

(773) 458-3230

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Eyestyle Family Optical2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Family Eyecare Alexis E Scatchell OD

  dba Eyestyle Family Optical

  • Health Service Clinic/Center
  • Chicago, IL
  • NPI 1871206706
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alexandria E Scatchell, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1992848071
  NPD Authorized official

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677024000000",
    "number": "1396271235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5355 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464142",
            "telephone_number": "773-930-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5355 W DEVON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606464142",
            "telephone_number": "773-930-4035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY EYECARE ALEXIS E SCATCHELL OD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-07",
        "status": "A",
        "authorized_official_last_name": "SCATCHELL",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "773-458-3230"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009919",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Family Dental of Roscoe Inc
• Family Doc S.C.
• Family Doc, Inc.
• Family Doctor Medical Center
• Family Doctors-Family Health Care, S.C.
• Family Eyecare Alexis E Scatchell OD (Eyestyle Family Optical)
• Family Farmacia Inc
• Family First Domestic & Family Counseling Clinic
• Family First Domestic & Family Counseling Clinic
• Family First Medical Care, PLLC

• Health Service Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Health Service Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.