Active NPI
Sharp Vision Inc
- Point of Service
- Chicago, IL
National Provider Identifier
1497949408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- License
- 24236918
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.