Organization Active NPI

Kieffer Vision Inc.

  • Optometrist
  • Tinley Park, IL
National Provider Identifier
1609005339
Registry record updated Jul 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010084 Issued in IL
Legal business name
KIEFFER VISION INC.
Practice address
7300 191St St
Tinley Park, IL 60487-9361
Phone
(815) 464-0023
Fax
(815) 464-0035
NPI assigned
Jul 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2009

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

Authorized official

Name
Dr. Mindi Jo Kieffer, O.D.
Title
President
Phone
(605) 351-0399

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010084 IL Primary

Addresses

Primary practice location

7300 191St St
Tinley Park, IL 60487-9361

Mailing address

7710 Greenway Blvd
Unit #1NW
Tinley Park, IL 60487-5459
Phone (605) 351-0399

National Provider Directory

National Provider Directory

Locations

16100 Harlem Ave
Tinley Park, IL 60477
Phone (708) 429-6069

NPI Registry JSON

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

{
    "created_epoch": "1246492800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246492800000",
    "number": "1609005339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 GREENWAY BLVD",
            "address_2": "UNIT #1NW",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604875459",
            "telephone_number": "605-351-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7300 191ST ST",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604879361",
            "telephone_number": "815-464-0023",
            "fax_number": "815-464-0035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIEFFER VISION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-02",
        "last_updated": "2009-07-02",
        "status": "A",
        "authorized_official_last_name": "KIEFFER",
        "authorized_official_first_name": "MINDI",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "605-351-0399",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010084",
            "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 Jul 2, 2009; 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.