NPIMap

Organization Active NPI

Associated Optical

  • Optometrist
  • Aurora, IL
National Provider Identifier
1578719308
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009482 Issued in IL
Legal business name
ASSOCIATED OPTICAL
Practice address
4050 Healthway Dr
Suite 100
Aurora, IL 60504-8183
Phone
(630) 820-1303
NPI assigned
Aug 12, 2008
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Dr. Carrie Spencer Sypherd, O.D.
Title
Doctor
Phone
(630) 820-1303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009482 IL Primary

Addresses

Primary practice location

4050 Healthway Dr
Suite 100
Aurora, IL 60504-8183

Mailing address

4050 Healthway Dr
Suite 100
Aurora, IL 60504-8183
Phone (630) 820-1303

Other identifiers 1

IdentifierTypeStateIssuer
1992756290MedicaidIL

National Provider Directory

National Provider Directory

Locations

4050 Healthway Dr
Ste 100
Aurora, IL 60504
Phone (630) 820-1303

NPI Registry JSON

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1578719308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-820-1303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 100",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-820-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATED OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "SYPHERD",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "SPENCER",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "630-820-1303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009482",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992756290",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.