Wrigleyville Eye Ctr LTD

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

WRIGLEYVILLE EYE CTR LTD

Practice address

2000 W Addison St
Chicago, IL 60618-6102

Phone

(773) 528-3790

Fax

(773) 528-9878

NPI assigned

May 23, 2017

Organization subpart

No

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

Authorized official

Name

Dr. Thomas W. Goska, OD

Title

President

Phone

(773) 528-3790

Specialties & licenses 1

Addresses

Other names 1

• EyeCare of Wrigleyville Doing business as

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

{
    "created_epoch": "1495497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1495497600000",
    "number": "1730617606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186102",
            "telephone_number": "773-528-3790",
            "fax_number": "773-529-9878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 W ADDISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606186102",
            "telephone_number": "773-528-3790",
            "fax_number": "773-528-9878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 W Addison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606186102",
            "country_code": "US",
            "telephone_number": "773-528-3790",
            "fax_number": "773-528-9878",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "WRIGLEYVILLE EYE CTR LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-23",
        "last_updated": "2017-05-23",
        "status": "A",
        "authorized_official_last_name": "GOSKA",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-528-3790",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "EyeCare of Wrigleyville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• 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 May 23, 2017; 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.