Vision Central PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009854 Issued in IL

Legal business name

VISION CENTRAL PC

Practice address

611 Milwaukee Ave
#155
Glenview, IL 60025-7802

Phone

(847) 904-2150

NPI assigned

Feb 21, 2014

Organization subpart

No

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

Authorized official

Name

Sung Y Kim, O.D.

Title

President

Phone

(847) 904-2150

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393977600000",
    "number": "1407271877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 MILWAUKEE AVE",
            "address_2": "#155",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 MILWAUKEE AVE",
            "address_2": "#155",
            "city": "GLENVIEW",
            "state": "IL",
            "postal_code": "600257802",
            "telephone_number": "847-904-2150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION CENTRAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-03-05",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "SUNG",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-904-2150",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009854",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1275623274",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Village Chiropractic
• Village of Glenview
• Diann Ashley Villamena, PT, DPT
• Christine Bacharo Villamor, PT
• Mari Viola Saltzman, D.O.
• Eleanor Finney Vita, OTR/L
• Vitavisit Healthcare LLC
• Martha Brittany Viveros-Guzman
• Sarah Vogt
• Mustak Vohra

• Optometrist in Glenview, IL
• Providers in Glenview, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2014; 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.