Sight Shop PC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046010949 Issued in IL

Legal business name

SIGHT SHOP PC

Practice address

2500 Harlem Ave
North Riverside, IL 60546-1415

Phone

(708) 853-1032

Fax

(708) 853-1033

NPI assigned

May 30, 2017

Last updated

Jun 16, 2018By 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

Dixit Patel, OD

Title

Owner

Phone

(708) 853-1032

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1496102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1700314143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 RAND RD APT 10",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600163575",
            "telephone_number": "708-853-1032",
            "fax_number": "708-853-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 HARLEM AVE",
            "city": "NORTH RIVERSIDE",
            "state": "IL",
            "postal_code": "605461415",
            "telephone_number": "708-853-1032",
            "fax_number": "708-853-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIGHT SHOP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-30",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "DIXIT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-853-1032",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010949",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Suzanne Sauer
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• Sariya Zain Siddiqi, MD
• Deborah C Sitz, RN
• Smart Moves Pediatrics
• Patrice Smetana
• Isabel Ann Snyder, LCSW
• Melanie Elizabeth Solberg-Conner

• Optometrist in North Riverside, IL
• Providers in North Riverside, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.