Organization Active NPI

HR Optical LLC

  • Optometrist
  • Sycamore, IL
National Provider Identifier
1427196856
Registry record updated Apr 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
HR OPTICAL LLC
Practice address
2240 Gateway Dr
Sycamore, IL 60178-3103
Phone
(815) 756-8571
Fax
(815) 756-1790
NPI assigned
Feb 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2010

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

Authorized official

Name
Dr. Mark C. Rafferty
Title
Optometrist
Phone
(815) 756-5897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

2240 Gateway Dr
Sycamore, IL 60178-3103

Mailing address

2240 Gateway Dr
Sycamore, IL 60178-3103
Phone (815) 756-5897

Other names 1

  • Hauser-Ross Optical Other name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1271376000000",
    "number": "1427196856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2240 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783103",
            "telephone_number": "815-756-5897",
            "fax_number": "815-756-6263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2240 GATEWAY DR",
            "city": "SYCAMORE",
            "state": "IL",
            "postal_code": "601783103",
            "telephone_number": "815-756-8571",
            "fax_number": "815-756-1790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HR OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2010-04-16",
        "status": "A",
        "authorized_official_last_name": "RAFFERTY",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "815-756-5897",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hauser-Ross Optical",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sycamore, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2010; 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.