Eyes on Fulton LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

046009874 Issued in IL

Legal business name

EYES ON FULTON LLC

Practice address

1011 W Fulton Market
Chicago, IL 60607-1222

Phone

(312) 226-2020

Fax

(312) 226-2021

NPI assigned

Jan 6, 2016

Last updated

Jan 6, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kaori Asano, O.D.NPI 1821022625

Title

President

Phone

(310) 903-0908

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kaori Asano, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1821022625
  NPD (past) Authorized official

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

{
    "created_epoch": "1452038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452038400000",
    "number": "1750747721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 W FULTON MARKET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071222",
            "telephone_number": "312-226-2020",
            "fax_number": "312-226-2021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 W FULTON MARKET",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606071222",
            "telephone_number": "312-226-2020",
            "fax_number": "312-226-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EYES ON FULTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-06",
        "last_updated": "2016-01-06",
        "status": "A",
        "authorized_official_last_name": "ASANO",
        "authorized_official_first_name": "KAORI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-903-0908",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009874",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "046009874",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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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 Jan 6, 2016; 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.