Price Optical Vision Specialists LLC

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

PRICE OPTICAL VISION SPECIALISTS LLC

Practice address

8541 S Cottage Grove Ave
Chicago, IL 60619-6115

Phone

(773) 651-7106

NPI assigned

Jan 20, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Calvin Vance III, ODNPI 1750789186

Title

Owner

Phone

(773) 474-6673

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Tax ID family

Price Optical Vision Specialists LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Price Optical Vision Specialists LLC

  • Eyewear Supplier
  • Chicago, IL
  • NPI 1801429204
  NPD tax ID

Locations

Practitioners 1

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

• Calvin Vance III, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1750789186
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1579478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583712000000",
    "number": "1760012645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8541 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196115",
            "telephone_number": "773-651-7106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8541 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196115",
            "telephone_number": "773-651-7106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRICE OPTICAL VISION SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-20",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A",
        "authorized_official_last_name": "VANCE",
        "authorized_official_first_name": "CALVIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-474-6673",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "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": []
}

• Loida Ticzon Preza, DMD
• Merna Prgam, APN-CNP
• Pri Diagnostics, LLC.
• Pri-Med Infusion Services, Inc.
• Price Optical Limited
• Price Optical Vision Specialists LLC
• Neferteria Alicia Price-Demus, LSW
• Kyla Nicole Price-Jauregui, MD
• Amber Nicole Price, M.D.
• Benjamin Price

• 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 Mar 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.