NPIMap

Organization Active NPI

JK Optical, Inc

Doing business as Anerican Vision Centers/Eyeworld

  • Optometrist
  • Oak Lawn, IL
National Provider Identifier
1417130543
Registry record updated Oct 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
46007555 Issued in IL
Legal business name
JK OPTICAL, INC
Doing business as
Anerican Vision Centers/Eyeworld
Practice address
10550 S Cicero Ave
Oak Lawn, IL 60453-5267
Phone
(708) 499-3911
Fax
(708) 424-5318
NPI assigned
Dec 12, 2007
Last updated
Oct 11, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2012

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

Authorized official

Name
Dr. Walter Atkenson Jr., O.D.NPI 1326192543
Title
Officer
Phone
(708) 499-3911

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 46007528 IL
Optometrist 152W00000X 46007555 IL Primary
Corneal and Contact Management Optometrist 152WC0802X 46007528 IL
Corneal and Contact Management Optometrist 152WC0802X 46007555 IL

Addresses

Primary practice location

10550 S Cicero Ave
Oak Lawn, IL 60453-5267

Mailing address

10550 S Cicero Ave
Oak Lawn, IL 60453-5267
Phone (708) 499-3911

Other names 1

  • ANERICAN VISION CENTERS/EYEWORLD Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349913600000",
    "number": "1417130543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535267",
            "telephone_number": "708-499-3911",
            "fax_number": "708-424-5318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 S CICERO AVE",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604535267",
            "telephone_number": "708-499-3911",
            "fax_number": "708-424-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JK OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2012-10-11",
        "status": "A",
        "authorized_official_last_name": "ATKENSON",
        "authorized_official_first_name": "WALTER",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "708-499-3911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007528",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "46007555",
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "46007528",
            "primary": false
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": "46007555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ANERICAN VISION CENTERS/EYEWORLD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2012; 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.