Urban Eyecare, Inc.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046-009376 Issued in IL

Legal business name

URBAN EYECARE, INC.

Practice address

1515 N Milwaukee Ave
Chicago, IL 60622-8566

Phone

(773) 772-2424

Fax

(773) 772-2828

NPI assigned

Jul 2, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Chad Millsap, O.D.NPI 1477584605

Title

Owner

Phone

(773) 209-2423

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

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

• Chad Thomas Millsap, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1477584605
  Medicare reassignment Authorized official
• Stacie R Lynn, OD

  • Optometrist
  • Philadelphia, PA
  • NPI 1639164247
  NPD (past)

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

{
    "created_epoch": "1214956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730419200000",
    "number": "1730342544",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228566",
            "telephone_number": "773-772-2424",
            "fax_number": "773-772-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 N MILWAUKEE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606228566",
            "telephone_number": "773-772-2424",
            "fax_number": "773-772-2828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URBAN EYECARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-02",
        "last_updated": "2024-11-01",
        "status": "A",
        "authorized_official_last_name": "MILLSAP",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-209-2423",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-009376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Urban Care Chiropractic, LLC
• Urban Family Health Center Inc
• Urban Healthcare Inc
• Urban Male Network
• Urban Medical Transport Inc
• Urban Milestones Pediatric Therapy

• 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 Nov 1, 2024; 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.