Organization Active NPI

Gca Optical LLC

  • Optometrist
  • Crest Hill, IL
National Provider Identifier
1497368252
Registry record updated Aug 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
GCA OPTICAL LLC
Practice address
1520 N Rock Run Dr Ste 2
Crest Hill, IL 60403-3172
Phone
(815) 744-6735
NPI assigned
Aug 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2020

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

Authorized official

Name
Greg Jon Allen
Title
Owner
Phone
(815) 744-6735

Specialties & licenses 1

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

Addresses

Primary practice location

1520 N Rock Run Dr Ste 2
Crest Hill, IL 60403-3172

Mailing address

1002 Sedona LN
Joliet, IL 60432-0701
Phone (815) 405-1927

Other names 1

  • Weisz Eye Care Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL WeiszEyeCare2020@yahoo.com Direct

National Provider Directory

National Provider Directory

Locations

1520 N Rock Run Dr
Ste 2
Joliet, IL 60403
Phone (815) 744-6735

NPI Registry JSON

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

{
    "created_epoch": "1598745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598745600000",
    "number": "1497368252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 SEDONA LN",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604320701",
            "telephone_number": "815-405-1927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1520 N ROCK RUN DR STE 2",
            "city": "CREST HILL",
            "state": "IL",
            "postal_code": "604033172",
            "telephone_number": "815-744-6735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GCA OPTICAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-30",
        "last_updated": "2020-08-30",
        "certification_date": "2020-08-30",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "GREG",
        "authorized_official_middle_name": "JON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "815-744-6735"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WeiszEyeCare2020@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "company email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1520 N Rock Run Dr Ste 2",
            "city": "Crest Hill",
            "state": "IL",
            "country_code": "US",
            "postal_code": "604033172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Weisz Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Crest Hill, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2020; 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.