Organization Active NPI

Sharp Vision Inc

  • Point of Service
  • Chicago, IL
National Provider Identifier
1497949408
Registry record updated Nov 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
24236918 Issued in IL
Legal business name
SHARP VISION INC
Practice address
2126A S Archer Ave
Chicago, IL 60616-1514
Phone
(312) 949-1888
NPI assigned
Sep 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2008

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

Authorized official

Name
Wallace W Chan, OD
Title
President
Phone
(312) 949-1888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 24236918 IL Primary

Addresses

Primary practice location

2126A S Archer Ave
Chicago, IL 60616-1514

Mailing address

2126A S Archer Ave
Chicago, IL 60616-1514

National Provider Directory

National Provider Directory

Locations

2126A S Archer Ave
Chicago, IL 60616
Phone (312) 225-3883

NPI Registry JSON

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

{
    "created_epoch": "1188691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1226361600000",
    "number": "1497949408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2126A S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2126A S ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161514",
            "telephone_number": "312-949-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARP VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-02",
        "last_updated": "2008-11-11",
        "status": "A",
        "authorized_official_last_name": "CHAN",
        "authorized_official_first_name": "WALLACE",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-949-1888",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": "24236918",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Nov 11, 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.