Organization Active NPI

Maxivision, PC

  • Optometrist
  • Naperville, IL
National Provider Identifier
1508095357
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
MAXIVISION, PC
Practice address
4931 S. Route 59
Suite # 115
Naperville, IL 60564-2692
Phone
(630) 904-1900
NPI assigned
Jul 14, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2012

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

Authorized official

Name
Dr. Prasod Ramachandran
Title
Doctor of Optometry
Phone
(630) 904-1900

Specialties & licenses 1

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

Addresses

Primary practice location

4931 S. Route 59
Suite # 115
Naperville, IL 60564-2692

Mailing address

4931 S. Route 59
Suite # 115
Naperville, IL 60564-2692
Phone (630) 904-1900

National Provider Directory

National Provider Directory

Locations

4931 S Route 59
Ste 115
Naperville, IL 60564
Phone (630) 904-1900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344556800000",
    "number": "1508095357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4931 S. ROUTE 59",
            "address_2": "SUITE # 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605642692",
            "telephone_number": "630-904-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4931 S. ROUTE 59",
            "address_2": "SUITE # 115",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605642692",
            "telephone_number": "630-904-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAXIVISION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-14",
        "last_updated": "2012-08-10",
        "status": "A",
        "authorized_official_last_name": "RAMACHANDRAN",
        "authorized_official_first_name": "PRASOD",
        "authorized_official_title_or_position": "DOCTOR OF OPTOMETRY",
        "authorized_official_telephone_number": "630-904-1900",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; 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.