Organization Active NPI

Pervez Rasul M.D.,,S.C.

  • Optometrist
  • Berwyn, IL
National Provider Identifier
1649375031
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
PERVEZ RASUL M.D.,,S.C.
Practice address
2215 Oak Park Ave
Berwyn, IL 60402-2220
Phone
(708) 484-4488
Fax
(708) 484-4533
NPI assigned
Sep 13, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Pervez Rasul, M.D.
Title
Owner
Phone
(708) 484-4488

Specialties & licenses 1

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

Addresses

Primary practice location

2215 Oak Park Ave
Berwyn, IL 60402-2220

Mailing address

2215 Oak Park Ave
Berwyn, IL 60402-2220
Phone (708) 484-4488

National Provider Directory

National Provider Directory

Locations

2215 Oak Park Ave
Berwyn, IL 60402
Phone (708) 218-9642

7120 Cermak Rd
Berwyn, IL 60402
Phone (708) 484-4488

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649375031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022220",
            "telephone_number": "708-484-4488",
            "fax_number": "708-484-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 OAK PARK AVE",
            "city": "BERWYN",
            "state": "IL",
            "postal_code": "604022220",
            "telephone_number": "708-484-4488",
            "fax_number": "708-484-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERVEZ RASUL M.D.,,S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RASUL",
        "authorized_official_first_name": "PERVEZ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-484-4488",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berwyn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.