Organization Active NPI

Affordable Optical Chicago Inc

  • Eyewear Supplier
  • Chicago, IL
National Provider Identifier
1649443391
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
GBL2008124 Issued in IL
Legal business name
AFFORDABLE OPTICAL CHICAGO INC
Practice address
6560 North Sheridan Rd
Chicago, IL 60626
Phone
(773) 274-2020
Fax
(773) 274-6121
NPI assigned
Apr 2, 2008
Last updated
Apr 2, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
AFFORDABLE OPTICAL INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Authorized official

Name
Mrs. Inna Azrikan
Title
President
Phone
(847) 707-9718

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X GBL2008124 IL Primary

Addresses

Primary practice location

6560 North Sheridan Rd
Chicago, IL 60626

Mailing address

6560 North Sheridan Rd
Chicago, IL 60626
Phone (773) 274-2020

Other identifiers 1

IdentifierTypeStateIssuer
0P2526OtherILEYEMED

National Provider Directory

National Provider Directory
Part of
Affordable Optical Inc

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207094400000",
    "number": "1649443391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6560 NORTH SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60626",
            "telephone_number": "773-274-2020",
            "fax_number": "773-274-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6560 NORTH SHERIDAN RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60626",
            "telephone_number": "773-274-2020",
            "fax_number": "773-274-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFORDABLE OPTICAL CHICAGO INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AFFORDABLE OPTICAL INC",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A",
        "authorized_official_last_name": "AZRIKAN",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-707-9718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "GBL2008124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "0P2526",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 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.