Organization Active NPI

Village Crossing Optical

  • Point of Service
  • Skokie, IL
National Provider Identifier
1790994358
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
Legal business name
VILLAGE CROSSING OPTICAL
Practice address
7151 Central Ave
Skokie, IL 60077-3275
Phone
(847) 674-6666
NPI assigned
May 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Elvira Kotler, OPTICIAN
Title
Manager
Phone
(847) 674-6666

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X IL Primary

Addresses

Primary practice location

7151 Central Ave
Skokie, IL 60077-3275

Mailing address

7151 Central Ave
Skokie, IL 60077-3275
Phone (847) 674-6666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20091203000376 IL Part B Supplier - Clinic/Group Practice 8022157155 Receives reassigned benefits from 1 practitioner
Practice locations: Skokie, IL

National Provider Directory

National Provider Directory

Locations

7151 Central Ave
Skokie, IL 60077
Phone (847) 674-6171

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1790994358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7151 CENTRAL AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773275",
            "telephone_number": "847-674-6666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7151 CENTRAL AVE",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600773275",
            "telephone_number": "847-674-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE CROSSING OPTICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-21",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "KOTLER",
        "authorized_official_first_name": "ELVIRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-674-6666",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OPTICIAN"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.