Organization Active NPI

Vision Source Tinley Park Series

  • Optometrist
  • Tinley Park, IL
National Provider Identifier
1588730055
Registry record updated Jan 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
VISION SOURCE TINLEY PARK SERIES
Practice address
17049 Harlem Ave
Tinley Park, IL 60477-2739
Phone
(708) 532-3450
Fax
(708) 532-9478
NPI assigned
Nov 28, 2006
Last updated
Jan 7, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2013

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

Authorized official

Name
John Rimkus, O.D.
Title
President
Phone
(708) 532-3450

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X NU Primary

Addresses

Primary practice location

17049 Harlem Ave
Tinley Park, IL 60477-2739

Mailing address

17049 Harlem Ave
Tinley Park, IL 60477-2739
Phone (708) 532-3450

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357516800000",
    "number": "1588730055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17049 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772739",
            "telephone_number": "708-532-3450",
            "fax_number": "708-532-9478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17049 HARLEM AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604772739",
            "telephone_number": "708-532-3450",
            "fax_number": "708-532-9478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SOURCE TINLEY PARK SERIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-01-07",
        "status": "A",
        "authorized_official_last_name": "RIMKUS",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-532-3450",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; 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.