Active NPI
James Thomas Teraji, OD
- Optometrist
- Villa Park, IL
National Provider Identifier
1689758047
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046007746
- Practice address
- 900 South Route 83
Villa Park, IL 60181 - Phone
- (630) 530-5303
- Fax
- (630) 530-1744
- NPI assigned
- Oct 24, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046007746 | IL | Primary |
Addresses
Primary practice location
900 South Route 83
Villa Park, IL 60181
Mailing address
900 South Route 83
Villa Park, IL 60181
Phone (630) 530-5303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 046007746 | IL | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248134400000",
"number": "1689758047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 SOUTH ROUTE 83",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "60181",
"telephone_number": "630-530-5303",
"fax_number": "630-530-1744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 SOUTH ROUTE 83",
"city": "VILLA PARK",
"state": "IL",
"postal_code": "60181",
"telephone_number": "630-530-5303",
"fax_number": "630-530-1744"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERAJI",
"first_name": "JAMES",
"middle_name": "THOMAS",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2009-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046007746",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Villa Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.