Active NPI
Monica L Cicimov & Associates Inc
- Optometrist
- Joliet, IL
National Provider Identifier
1497201693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- MONICA L CICIMOV & ASSOCIATES INC
- Practice address
- 179 N Chicago St
Joliet, IL 60432-4126 - Phone
- (815) 723-2020
- NPI assigned
- Aug 28, 2016
- 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
- Mrs. Monica L Cicimov
- Title
- President
- Phone
- (815) 723-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | Primary |
Addresses
Primary practice location
179 N Chicago St
Joliet, IL 60432-4126
Mailing address
179 N Chicago St
Joliet, IL 60432-4126
Other names 1
- C&C Vision Gallery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Naperville, IL
- NPI 1508394008
-
- Optometrist
- Joliet, IL
- NPI 1154375392
-
- Optometrist
- Downers Grove, IL
- NPI 1194080226
-
- Optometrist
- Tinley Park, IL
- NPI 1851598908
-
- Optometrist
- Frisco, CO
- NPI 1780609891
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1477526400000",
"number": "1497201693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "179 N CHICAGO ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604324126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "179 N CHICAGO ST",
"city": "JOLIET",
"state": "IL",
"postal_code": "604324126",
"telephone_number": "815-723-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MONICA L CICIMOV & ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-28",
"last_updated": "2016-10-27",
"status": "A",
"authorized_official_last_name": "CICIMOV",
"authorized_official_first_name": "MONICA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "815-723-2020",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Optometrist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "C&C Vision Gallery",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.