Organization Active NPI

Central-Higgins Optometrics Inc.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1417479569
Registry record updated Oct 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2023

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)CodeLicenseStatePrimary
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 Directory

NPI 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": []
}

Other providers in Chicago, IL

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.

Verify at the official NPI Registry.