Wicker Park Eye Center LTD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

WICKER PARK EYE CENTER LTD

Practice address

2222 W Division St
Ste 135
Chicago, IL 60622-2717

Phone

(773) 276-9030

Fax

(773) 276-9110

NPI assigned

Dec 12, 2007

Last updated

Mar 21, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Chitra V Nadimpalli, MDNPI 1306816616

Title

President

Phone

(773) 276-9030

Specialties & licenses 1

Addresses

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.

• Chitra V Nadimpalli, MD

  • Ophthalmology Physician
  • Port Arthur, TX
  • NPI 1306816616
  NPD (past) Authorized official

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206057600000",
    "number": "1629251780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "WICKER PARK EYE CENTER LTD.",
            "address_2": "PO BOX 477100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60647",
            "telephone_number": "773-276-9030",
            "fax_number": "773-276-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 W DIVISION ST",
            "address_2": "STE 135",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606222717",
            "telephone_number": "773-276-9030",
            "fax_number": "773-276-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICKER PARK EYE CENTER LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2008-03-21",
        "status": "A",
        "authorized_official_last_name": "NADIMPALLI",
        "authorized_official_first_name": "CHITRA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-276-9030",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Wick, MD
• Erin Wickens, MS, RDN
• Wicker Park Chiropractic Health
• Wicker Park Dental LLC
• Wicker Park Dental, LTD (Wicker Park Dental Group)
• Wicker Park Heart Specialists, LLC
• Wicker Park Orthodontia, LTD. (Wicker Park Orthodontics)
• Wicker Park Renaissance
• Wicker Park Spine and Stability, LLC
• Wicker Park Therapy Group, PLLC

• Ophthalmology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Ophthalmology Physician in Illinois

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