NPIMap

Organization Active NPI

Freedom Vision Centers LLC

  • Optometrist
  • Belvidere, IL
National Provider Identifier
1730733247
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
FREEDOM VISION CENTERS LLC
Practice address
900 Belvidere Rd
Belvidere, IL 61008-9360
Phone
(708) 859-8000
NPI assigned
Aug 1, 2019
Organization subpart
Yes
Parent organization
FREEDOM VISION CENTERS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Authorized official

Name
Vick Mehta
Title
Managing Partner
Phone
(708) 859-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

900 Belvidere Rd
Belvidere, IL 61008-9360

Mailing address

2777 Finley Rd Ste 13
Downers Grove, IL 60515-1012

Other names 1

  • Pearle Vision Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Freedom Vision Centers LLC3 organizations share this tax ID, including this one
Part of
Freedom Vision Centers LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1730733247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2777 FINLEY RD STE 13",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605151012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BELVIDERE RD",
            "city": "BELVIDERE",
            "state": "IL",
            "postal_code": "610089360",
            "telephone_number": "708-859-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM VISION CENTERS LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FREEDOM VISION CENTERS LLC",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "MEHTA",
        "authorized_official_first_name": "VICK",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "708-859-8000"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pearle Vision",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Belvidere, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; 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.