Plano Optometrics LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PLANO OPTOMETRICS LTD

Practice address

5401 S Wentworth Ave Ste 14B
Chicago, IL 60609-6300

Phone

(773) 924-5292

Fax

(773) 373-3548

NPI assigned

Apr 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Addie H. Davis

Title

Office Manager

Phone

(773) 924-5292

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie R. Johnson, O.D.

  • Vision Therapy Optometrist
  • Chicago, IL
  • NPI 1992843007
  Medicare reassignment Care Compare group NPD
• Joseph W McCray Jr., OD

  • Optometrist
  • Chicago, IL
  • NPI 1275526717
  Medicare reassignment Care Compare group
• Charita Smith, OD

  • Optometrist
  • Chicago, IL
  • NPI 1497151542
  Medicare reassignment
• Beverly Williamson, O.D.

  • Optometrist
  • Calumet City, IL
  • NPI 1184768210
  Medicare reassignment
• Tanya M Parks, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1962544817
  NPD (past)
• Derek J Dawson, M.D.

  • Ophthalmology Physician
  • Munster, IN
  • NPI 1013992411
  NPD (past)

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251849600000",
    "number": "1710106299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE STE 14B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "773-924-5292",
            "fax_number": "773-373-3548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 S WENTWORTH AVE STE 14B",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606096300",
            "telephone_number": "773-924-5292",
            "fax_number": "773-373-3548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLANO OPTOMETRICS LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2009-09-02",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "ADDIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "773-924-5292",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Planned Parenthood of Illinois
• Planned Parenthood of Illinois
• Planned Parenthood of Illinois
• Planned Parenthood of Illinois
• Plano Child Development Center
• Ashley S Plant, M.D.
• Kara Plante
• Rebecca Plante, PHARM.D.
• Planting Seeds Therapy, P.C.
• Plantz Psychotherapy PLLC

• 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 Sep 2, 2009; 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.

Verify at the official NPI Registry.