Chicago My Optical, Inc

Primary specialty

OpticianTaxonomy code 156FX1800X

License

178295 Issued in IL

Legal business name

CHICAGO MY OPTICAL, INC

Doing business as

Chicago My Optical

Practice address

806 Civic Center Dr
Niles, IL 60714-3207

Phone

(847) 965-3715

Fax

(847) 965-3720

NPI assigned

Feb 9, 2012

Organization subpart

No

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

Authorized official

Name

Young KimNPI 1417220427

Title

Secretary

Phone

(847) 965-3715

Specialties & licenses 1

Addresses

Other names 1

• CHICAGO MY OPTICAL Doing business as

Locations

Practitioners 2

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

• Young Hee Kim

  • Optician
  • Niles, IL
  • NPI 1417220427
  NPD (past) Authorized official
• Jane C Choi

  • Optician
  • Niles, IL
  • NPI 1184893091
  NPD (past)

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

{
    "created_epoch": "1328745600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328745600000",
    "number": "1669745436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "806 CIVIC CENTER DR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143207",
            "telephone_number": "847-965-3715",
            "fax_number": "847-965-3720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 CIVIC CENTER DR",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607143207",
            "telephone_number": "847-965-3715",
            "fax_number": "847-965-3720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHICAGO MY OPTICAL, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-09",
        "last_updated": "2012-02-09",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "YOUNG",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "847-965-3715"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": "178295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHICAGO MY OPTICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Ira Scott Chislof, DC

• Optician in Niles, IL
• Providers in Niles, IL by specialty
• Optician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; 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.