Organization Active NPI

Richard Nuccio PC

  • Optometrist
  • Bloomingdale, IL
National Provider Identifier
1649394289
Registry record updated Sep 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
RICHARD NUCCIO PC
Practice address
136 W Lake St
Ste 110
Bloomingdale, IL 60108-1020
Phone
(630) 980-9095
Fax
(630) 980-9156
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2013

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

Authorized official

Name
Dr. Richard J Nuccio, O.D.
Title
Owner-President
Phone
(630) 980-9095

Specialties & licenses 1

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

Addresses

Primary practice location

136 W Lake St
Ste 110
Bloomingdale, IL 60108-1020

Mailing address

136 W Lake St
Ste 110
Bloomingdale, IL 60108-1020
Phone (630) 980-9095

National Provider Directory

National Provider Directory

Locations

136 W Lake St
Ste 110
Bloomingdale, IL 60108
Phone (630) 980-9095

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1379980800000",
    "number": "1649394289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 W LAKE ST",
            "address_2": "STE 110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081020",
            "telephone_number": "630-980-9095",
            "fax_number": "630-980-9156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 W LAKE ST",
            "address_2": "STE 110",
            "city": "BLOOMINGDALE",
            "state": "IL",
            "postal_code": "601081020",
            "telephone_number": "630-980-9095",
            "fax_number": "630-980-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD NUCCIO PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2013-09-24",
        "status": "A",
        "authorized_official_last_name": "NUCCIO",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER-PRESIDENT",
        "authorized_official_telephone_number": "630-980-9095",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.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 Bloomingdale, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; 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.