Optimum Vision Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

036055856 Issued in IL

Legal business name

OPTIMUM VISION INC

Practice address

7257 S Jeffery Blvd
Chicago, IL 60649-3014

Phone

(773) 752-3900

Fax

(773) 493-8837

NPI assigned

Jul 23, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Donna Johnson, MD

Title

Physician

Phone

(773) 752-3900

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1216771200000",
    "number": "1750546339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 S JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493014",
            "telephone_number": "773-752-3900",
            "fax_number": "773-493-8837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 S JEFFERY BLVD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606493014",
            "telephone_number": "773-752-3900",
            "fax_number": "773-493-8837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMUM VISION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "773-752-3900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "036055856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DAVIS EYE  VISION",
            "identifier": "18175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "921513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EYE MED",
            "identifier": "919248",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optimum Dental Center, PC
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• Optimum Kidney Care SC
• Optimum Professionals Home Health Care Inc.
• Optimum Sight Inc.
• Options Funtional Health SC
• Options Medical LLC
• Options Medical Services Inc.
• Options Unlimited Resource Counseling
• Optum Behavioral Care of Colorado, P.C.

• 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 Jul 23, 2008; 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.