Active NPI
Central-Higgins Optometrics Inc.
- Optometrist
- Chicago, IL
National Provider Identifier
1417479569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- CENTRAL-HIGGINS OPTOMETRICS INC.
- Practice address
- 4920 N Central Ave Ste 1B
Chicago, IL 60630-2341 - Phone
- (773) 777-6615
- Fax
- (773) 777-0177
- NPI assigned
- Jul 11, 2017
- Last updated
- Oct 28, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Nadia Mustafa
- Title
- Office Manager
- Phone
- (872) 230-5517
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | NU | Primary |
Addresses
Primary practice location
4920 N Central Ave Ste 1B
Chicago, IL 60630-2341
Mailing address
4920 N Central Ave Ste 1B
Chicago, IL 60630-2341
Phone (773) 777-6615
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499731200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1698451200000",
"number": "1417479569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4920 N CENTRAL AVE STE 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302341",
"telephone_number": "773-777-6615",
"fax_number": "773-777-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4920 N CENTRAL AVE STE 1B",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606302341",
"telephone_number": "773-777-6615",
"fax_number": "773-777-0177"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL-HIGGINS OPTOMETRICS INC.",
"organizational_subpart": "NO",
"enumeration_date": "2017-07-11",
"last_updated": "2023-10-28",
"certification_date": "2023-08-22",
"status": "A",
"authorized_official_last_name": "MUSTAFA",
"authorized_official_first_name": "NADIA",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "872-230-5517"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.