Vision Boutique, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION BOUTIQUE, INC.

Practice address

948 W Madison St
Chicago, IL 60607-2741

Phone

(312) 829-6800

Fax

(312) 829-3945

NPI assigned

Dec 5, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Charles Baygood

Title

Vice President

Phone

(312) 829-6800

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Elizabeth Kelly Hanno, O.D.

  • Optometrist
  • Flossmoor, IL
  • NPI 1750397337
  NPD (past)
• Mona B Patel, OD

  • Optometrist
  • Panama City Beach, FL
  • NPI 1730215591
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689732232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072741",
            "telephone_number": "312-829-6800",
            "fax_number": "312-829-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 W MADISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606072741",
            "telephone_number": "312-829-6800",
            "fax_number": "312-829-3945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION BOUTIQUE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BAYGOOD",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "312-829-6800",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxime Alexis Visa
• Nipapat Visavachaipan, M.D.
• Jocelyn Visaysouk
• Matthew Visel, PA-C
• Vishar Medical Center SC
• Vision Health Management Systems, Inc.
• Vision Home Care LLC
• Vision Imaging Professionals
• Vision Nutrition Counseling, LLC (Vision Nutrition Counseling)
• Vision Salon Eye Care Associates

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.