Encore Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009922 Issued in IL

Legal business name

ENCORE OPTICAL INC

Practice address

4259 N Harlem Ave
Norridge, IL 60706-1212

Phone

(708) 457-2292

NPI assigned

Dec 19, 2012

Last updated

Dec 19, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Alisa KartNPI 1700921756

Title

Owner

Phone

(708) 457-2292

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Alisa Kart, OD

  • Optometrist
  • Norridge, IL
  • NPI 1700921756
  Authorized official Same address or phone

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355875200000",
    "number": "1477899490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4259 N HARLEM AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061212",
            "telephone_number": "708-457-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4259 N HARLEM AVE",
            "city": "NORRIDGE",
            "state": "IL",
            "postal_code": "607061212",
            "telephone_number": "708-457-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENCORE OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2012-12-19",
        "status": "A",
        "authorized_official_last_name": "KART",
        "authorized_official_first_name": "ALISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-457-2292",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009922",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009922",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Optometrist in Norridge, IL
• Providers in Norridge, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.