Active NPI
Dupage Optical, Inc.
- Optometrist
- Addison, IL
National Provider Identifier
1710010608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Legal business name
- DUPAGE OPTICAL, INC.
- Practice address
- 207 S Addison Rd
Addison, IL 60101-3809 - Phone
- (630) 279-8866
- Fax
- (630) 279-2609
- NPI assigned
- Mar 13, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Steven P. Butzon, O.D.
- Title
- Owner
- Phone
- (630) 279-8866
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | IL | Primary | |
| Optometrist | 152W00000X | IL | ||
| Corneal and Contact Management Optometrist | 152WC0802X | IL | ||
| Vision Therapy Optometrist | 152WV0400X | IL | ||
| Occupational Vision Optometrist | 152WX0102X | IL |
Addresses
Primary practice location
207 S Addison Rd
Addison, IL 60101-3809
Mailing address
207 S Addison Rd
Addison, IL 60101-3809
Phone (630) 279-8866
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
207 S Addison Rd
Addison, IL 60101
Phone (630) 279-8866
619 W North Ave
Villa Park, IL 60181
Phone (630) 279-8866
311 N Walnut Ave
Ste 120
Wood Dale, IL 60191
Phone (630) 766-3763
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Optometrist
- Addison, IL
- NPI 1487392528
-
- Optometrist
- Addison, IL
- NPI 1306832126
-
- Optometrist
- Addison, IL
- NPI 1669552055
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1678147200000",
"number": "1710010608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 S ADDISON RD",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013809",
"telephone_number": "630-279-8866",
"fax_number": "630-279-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 S ADDISON RD",
"city": "ADDISON",
"state": "IL",
"postal_code": "601013809",
"telephone_number": "630-279-8866",
"fax_number": "630-279-2609"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DUPAGE OPTICAL, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-13",
"last_updated": "2023-03-07",
"status": "A",
"authorized_official_last_name": "BUTZON",
"authorized_official_first_name": "STEVEN",
"authorized_official_middle_name": "P.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "630-279-8866",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "O.D."
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
},
{
"code": "152W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "152WC0802X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Corneal and Contact Management",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "152WV0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Vision Therapy",
"state": "IL",
"license": null,
"primary": false
},
{
"code": "152WX0102X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Optometrist, Occupational Vision",
"state": "IL",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Addison, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.