Organization Active NPI

Optical Services, LTD

  • Eyewear Supplier
  • Palos Heights, IL
National Provider Identifier
1407000730
Registry record updated Nov 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
036043316 Issued in IL
Legal business name
OPTICAL SERVICES, LTD
Practice address
6420 W 127TH St
Palos Heights, IL 60463-2269
Phone
(708) 371-7838
Fax
(708) 371-7839
NPI assigned
Nov 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2008

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

Authorized official

Name
Joel U Mann, M.D.
Title
Owner
Phone
(708) 371-7838

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 036043316 IL Primary

Addresses

Primary practice location

6420 W 127TH St
Palos Heights, IL 60463-2269

Mailing address

6420 W 127TH St
Palos Heights, IL 60463-2269
Phone (708) 371-7838

National Provider Directory

National Provider Directory

Locations

6420 W 127th St
Palos Heights, IL 60463
Phone (708) 371-2310

NPI Registry JSON

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

{
    "created_epoch": "1226534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226534400000",
    "number": "1407000730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632269",
            "telephone_number": "708-371-7838",
            "fax_number": "708-371-7839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6420 W 127TH ST",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604632269",
            "telephone_number": "708-371-7838",
            "fax_number": "708-371-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTICAL SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-13",
        "last_updated": "2008-11-13",
        "status": "A",
        "authorized_official_last_name": "MANN",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-371-7838",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "036043316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2008; 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.