Organization Active NPI

Boss Optical Inc

  • Eyewear Supplier
  • Chicago, IL
National Provider Identifier
1760785372
Registry record updated Dec 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Eyewear SupplierTaxonomy code 332H00000X
License
40093379 Issued in IL
Legal business name
BOSS OPTICAL INC
Practice address
215 W 23Rd St
Chicago, IL 60616-1903
Phone
(312) 225-3188
Fax
(312) 225-9188
NPI assigned
Dec 21, 2010
Last updated
Dec 21, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2010

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

Authorized official

Name
PO Seung Lam
Title
President
Phone
(312) 388-1388

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Eyewear Supplier 332H00000X 40093379 IL Primary

Addresses

Primary practice location

215 W 23Rd St
Chicago, IL 60616-1903

Mailing address

215 W 23Rd St
Chicago, IL 60616-1903
Phone (312) 225-3188

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1760785372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 W 23RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161903",
            "telephone_number": "312-225-3188",
            "fax_number": "312-225-9188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 W 23RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161903",
            "telephone_number": "312-225-3188",
            "fax_number": "312-225-9188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "LAM",
        "authorized_official_first_name": "PO",
        "authorized_official_middle_name": "SEUNG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-388-1388"
    },
    "taxonomies": [
        {
            "code": "332H00000X",
            "taxonomy_group": "",
            "desc": "Eyewear Supplier",
            "state": "IL",
            "license": "40093379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.