NPIMap

Organization Active NPI

Nancy Jo Prybylo OD Chartered

Doing business as The Eye Site

  • Optometrist
  • Chicago, IL
National Provider Identifier
1669500518
Registry record updated Oct 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046008196 Issued in IL
Legal business name
NANCY JO PRYBYLO OD CHARTERED
Doing business as
The Eye Site
Practice address
7252 W Foster Ave
Chicago, IL 60656-3612
Phone
(773) 763-5200
Fax
(773) 763-5253
NPI assigned
Mar 1, 2007
Last updated
Oct 12, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2010

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

Authorized official

Name
Nancy Jo Prybylo, ODNPI 1295865384
Title
Optometrist
Phone
(773) 763-5200

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
Optometrist 152W00000X 046008196 IL Primary

Addresses

Primary practice location

7252 W Foster Ave
Chicago, IL 60656-3612

Mailing address

7252 W Foster Ave
Chicago, IL 60656-3612
Phone (773) 763-5200

Other identifiers 3

IdentifierTypeStateIssuer
7737635200OtherILVSP
IL8196OtherILEYEMED
6308OtherILDAVIS

Other names 1

  • The Eye Site Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1286841600000",
    "number": "1669500518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7252 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563612",
            "telephone_number": "773-763-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7252 W FOSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606563612",
            "telephone_number": "773-763-5200",
            "fax_number": "773-763-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY JO PRYBYLO OD CHARTERED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2010-10-12",
        "status": "A",
        "authorized_official_last_name": "PRYBYLO",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "JO",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "773-763-5200",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008196",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VSP",
            "identifier": "7737635200",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYEMED",
            "identifier": "IL8196",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS",
            "identifier": "6308",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Eye Site",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 12, 2010; 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.