Organization Active NPI

Art of Vision Eyecare Professionals P.C.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1659698017
Registry record updated Apr 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046.010090 Issued in IL
Legal business name
ART OF VISION EYECARE PROFESSIONALS P.C.
Practice address
1101 W Jackson Blvd
Optical
Chicago, IL 60607-2905
Phone
(312) 243-2446
NPI assigned
Apr 26, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2015

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

Authorized official

Name
Raechelle E PaikNPI 1407004724
Title
President
Phone
(877) 734-3844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193200000X MULTI-SPECIALTY GROUP 152W00000X 046.010090 IL Primary

Addresses

Primary practice location

1101 W Jackson Blvd
Optical
Chicago, IL 60607-2905

Mailing address

1101 W Jackson Blvd
Optical
Chicago, IL 60607-2905
Phone (877) 734-3844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110128000521 IL Part B Supplier - Clinic/Group Practice 9638358245 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Warrenville, IL; Lake Bluff, IL; Glenview, IL

National Provider Directory

National Provider Directory

Locations

1101 W Jackson Blvd
Chicago, IL 60607
Phone (302) 279-3340

1200 N Larrabee St
Chicago, IL 60610
Phone (312) 470-8945

6600 N Lincoln Ave
Ste 418B
Lincolnwood, IL 60712
Phone (877) 734-3844

7000 Mannheim Rd
Rosemont, IL 60018
Phone (847) 768-5601

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1272240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429315200000",
    "number": "1659698017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 W JACKSON BLVD",
            "address_2": "OPTICAL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072905",
            "telephone_number": "877-734-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 W JACKSON BLVD",
            "address_2": "OPTICAL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072905",
            "telephone_number": "312-243-2446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ART OF VISION EYECARE PROFESSIONALS P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-26",
        "last_updated": "2015-04-18",
        "status": "A",
        "authorized_official_last_name": "PAIK",
        "authorized_official_first_name": "RAECHELLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "877-734-3844"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010090",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 18, 2015; 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.