NPIMap

Organization Active NPI

Dr Atha Hyderi PC

Doing business as Primary Vision Center

  • Optometrist
  • Roselle, IL
National Provider Identifier
1598864324
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
DR ATHA HYDERI PC
Doing business as
Primary Vision Center
Practice address
833 N Roselle Rd
Roselle, IL 60172-4212
Phone
(630) 351-0085
Fax
(630) 351-1530
NPI assigned
Sep 21, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Atha Ali Hyderi, ODNPI 1689617375
Title
Optometrist
Phone
(630) 351-0085

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X IL Primary
Corneal and Contact Management Optometrist 152WC0802X IL
Low Vision Rehabilitation Optometrist 152WL0500X IL
Pediatric Optometrist 152WP0200X IL
Sports Vision Optometrist 152WS0006X IL
Vision Therapy Optometrist 152WV0400X IL
Occupational Vision Optometrist 152WX0102X IL

Addresses

Primary practice location

833 N Roselle Rd
Roselle, IL 60172-4212

Mailing address

833 N Roselle Rd
Roselle, IL 60172-4212
Phone (630) 351-0085

Other names 1

  • Primary Vision Center Doing business as

National Provider Directory

National Provider Directory

Locations

833 N Roselle Rd
Roselle, IL 60172
Phone (630) 351-0085

975 E Nerge Rd
Ste N60
Roselle, IL 60172
Phone (630) 351-0085

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1158796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1598864324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 N ROSELLE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724212",
            "telephone_number": "630-351-0085",
            "fax_number": "630-351-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 N ROSELLE RD",
            "city": "ROSELLE",
            "state": "IL",
            "postal_code": "601724212",
            "telephone_number": "630-351-0085",
            "fax_number": "630-351-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR ATHA HYDERI PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "HYDERI",
        "authorized_official_first_name": "ATHA",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "630-351-0085",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "152WC0802X",
            "taxonomy_group": "",
            "desc": "Optometrist, Corneal and Contact Management",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WS0006X",
            "taxonomy_group": "",
            "desc": "Optometrist, Sports Vision",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WV0400X",
            "taxonomy_group": "",
            "desc": "Optometrist, Vision Therapy",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WX0102X",
            "taxonomy_group": "",
            "desc": "Optometrist, Occupational Vision",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Primary Vision Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roselle, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.