NPIMap

Organization Active NPI

Southwest Optometric Associates P C

Doing business as Miami Optical

  • Optometrist
  • Chicago, IL
National Provider Identifier
1699785675
Registry record updated Jul 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
060005752 Issued in IL
Legal business name
SOUTHWEST OPTOMETRIC ASSOCIATES P C
Doing business as
Miami Optical
Practice address
3125 S Ashland Ave
Ste 204
Chicago, IL 60608-6252
Phone
(773) 890-1100
NPI assigned
Aug 9, 2006
Last updated
Jul 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2013

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

Authorized official

Name
Dr. Gary George Hauser, ODNPI 1023016870
Title
President
Phone
(773) 890-1100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 060005752 IL Primary

Addresses

Primary practice location

3125 S Ashland Ave
Ste 204
Chicago, IL 60608-6252

Mailing address

3125 S Ashland Ave
Ste 204
Chicago, IL 60608-6252
Phone (773) 890-1100

Other identifiers 2

IdentifierTypeStateIssuer
CG7477OtherRAILROAD MEDICARE
987570OtherMEDICARE PTAN

Other names 1

  • Miami Optical Doing business as

National Provider Directory

National Provider Directory

Locations

3118 W 63rd St
Chicago, IL 60629

3125 S Ashland Ave
Chicago, IL 60608
Phone (773) 890-1100

Practitioners & affiliated clinicians

Practitioners 10

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": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373500800000",
    "number": "1699785675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE",
            "address_2": "STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086252",
            "telephone_number": "773-890-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 S ASHLAND AVE",
            "address_2": "STE 204",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086252",
            "telephone_number": "773-890-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST OPTOMETRIC ASSOCIATES P C",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2013-07-11",
        "status": "A",
        "authorized_official_last_name": "HAUSER",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "GEORGE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-890-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "060005752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG7477",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "987570",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Miami Optical",
            "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 Jul 11, 2013; 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.