Visionary Eye Care Professionals, PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

2688/5905 Issued in IL

Legal business name

VISIONARY EYE CARE PROFESSIONALS, PC

Practice address

5222 N Clark St
Chicago, IL 60640-2377

Phone

(773) 275-2538

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Michael Cizsek, OD

Title

Co-Owner

Phone

(773) 275-2538

Specialties & licenses 1

Addresses

Other names 1

• Visionary Eye Care Doing business as

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Visionary Eye Care Professionals PC

  • Optometrist
  • Chicago, IL
  • NPI 1790881985

  O20170119002888

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jamie N Johnson, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1679887723
  NPD (past)
• Ryan Nguyen, OD

  • Corneal and Contact Management Optometrist
  • Chicago, IL
  • NPI 1073008058
  NPD (past)

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485129600000",
    "number": "1609972892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5222 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402377",
            "telephone_number": "773-275-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 N CLARK ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606402377",
            "telephone_number": "773-275-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISIONARY EYE CARE PROFESSIONALS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2017-01-23",
        "status": "A",
        "authorized_official_last_name": "CIZSEK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "773-275-2538",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "2688/5905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visionary Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Vision Salon Eye Care Associates
• Visionary Eye Care Professionals PC
• Visions for Change Counseling Center, PC
• Visionworks Inc
• Visionworks, Inc
• Visionworks, Inc
• Visionworks, Inc

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.