Active NPI
Maxivision, PC
- Optometrist
- Naperville, IL
National Provider Identifier
1508095357
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 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 DirectoryLocations
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.
-
- Optometrist
- Naperville, IL
- NPI 1902310006
-
- Optometrist
- Bloomingdale, IL
- NPI 1861705055
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.