Organization Active NPI

One Or Two, LTD.

  • Medical Specialty Clinic/Center
  • Dekalb, IL
National Provider Identifier
1417007378
Registry record updated May 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
00466713 Issued in IL
Legal business name
ONE OR TWO, LTD.
Doing business as
Pearle Vision
Practice address
3272 Sycamore Rd
Dekalb, IL 60115-9621
Phone
(815) 756-3700
Fax
(815) 756-3701
NPI assigned
Jan 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2011

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

Authorized official

Name
Dr. Randall D Burggraf, O.D.NPI 1447318563
Title
Doctor
Phone
(815) 756-3700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 00466713 IL Primary

Addresses

Primary practice location

3272 Sycamore Rd
Dekalb, IL 60115-9621

Mailing address

3272 Sycamore Rd
Dekalb, IL 60115-9621
Phone (815) 756-3700

Other identifiers 1

IdentifierTypeStateIssuer
046006713MedicaidIL

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory

Locations

3272 Sycamore Rd
DeKalb, IL 60115
Phone (815) 756-3010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306368000000",
    "number": "1417007378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3272 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621",
            "telephone_number": "815-756-3700",
            "fax_number": "815-756-3701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3272 SYCAMORE RD",
            "city": "DEKALB",
            "state": "IL",
            "postal_code": "601159621",
            "telephone_number": "815-756-3700",
            "fax_number": "815-756-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE OR TWO, LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2011-05-26",
        "status": "A",
        "authorized_official_last_name": "BURGGRAF",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "815-756-3700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "IL",
            "license": "00466713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046006713",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dekalb, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2011; 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.