Buena Vista Optical, P.C.

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

046-009243 Issued in IL

Legal business name

BUENA VISTA OPTICAL, P.C.

Practice address

6455 S Kedzie Ave
Chicago, IL 60629-2829

Phone

(773) 863-9234

Fax

(773) 863-9274

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Todd Sims, O.D.NPI 1720095532

Title

President

Phone

(773) 863-9234

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• Todd Wayne Sims, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1720095532
  Medicare reassignment NPD Authorized official
• Parisa Mobini, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1215253257
  Medicare reassignment NPD
• Miguel Angel Sandoval, OD

  • Optometrist
  • Chicago, IL
  • NPI 1871376996
  Medicare reassignment NPD
• Neha Shah, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1194194100
  Medicare reassignment NPD
• Fernand Felipe Jimenez, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1699905042
  NPD (past)

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378857600000",
    "number": "1740464296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6455 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292829",
            "telephone_number": "773-863-9234",
            "fax_number": "773-863-9274"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6455 S KEDZIE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606292829",
            "telephone_number": "773-863-9234",
            "fax_number": "773-863-9274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUENA VISTA OPTICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2013-09-11",
        "status": "A",
        "authorized_official_last_name": "SIMS",
        "authorized_official_first_name": "TODD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-863-9234",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "046-009243",
            "primary": true
        },
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "046-009243",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin George Buell, MBBS
• Michelle Buelow, R.D.
• Carly Jayne Bueltel, PSYD
• Joan Nicole Buen, M.D.
• Buena Vida Home Health Agency Inc.
• Brian Buenaventura, APN CRNA
• Erin M Buenger, DPT
• Anne Christina Buenneke, LCSW
• Adriana Bueno, NDTR
• Claudia Bueno

• Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.