Organization Active NPI

Guile'S Eyewear Boutique Inc.

  • Optician
  • Chicago, IL
National Provider Identifier
1487817409
Registry record updated Sep 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
License
35978260 Issued in IL
Legal business name
GUILE'S EYEWEAR BOUTIQUE INC.
Practice address
3041 N Lotus Ave
Chicago, IL 60641-4818
Phone
(773) 545-9641
Fax
(773) 545-9541
NPI assigned
Jul 9, 2008
Organization subpart
Yes
Parent organization
NONEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 18, 2008

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

Authorized official

Name
Mrs. Guile Jackson, NONE
Title
President
Phone
(773) 545-9641

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OpticianGroup: 193400000X SINGLE SPECIALTY GROUP 156FX1800X 35978260 IL Primary

Addresses

Primary practice location

3041 N Lotus Ave
Chicago, IL 60641-4818

Mailing address

3041 N Lotus Ave
Chicago, IL 60641-4818
Phone (773) 545-9641

Other names 1

  • none Doing business as

National Provider Directory

National Provider Directory
Part of
Guile'S Eyewear Boutique Inc

Locations

3041 N Lotus Ave
Chicago, IL 60641
Phone (773) 545-9641

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221696000000",
    "number": "1487817409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3041 N LOTUS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414818",
            "telephone_number": "773-545-9641",
            "fax_number": "773-545-9541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3041 N LOTUS AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606414818",
            "telephone_number": "773-545-9641",
            "fax_number": "773-545-9541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUILE'S EYEWEAR BOUTIQUE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NONE",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-09-18",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "GUILE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-545-9641",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NONE"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": "35978260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 18, 2008; 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.