Organization Active NPI

Nicholas C Caro MD, LLC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1801076609
Registry record updated Feb 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
NICHOLAS C CARO MD, LLC
Practice address
4151 W Peterson Ave
Chicago, IL 60646-6002
Phone
(773) 685-5606
Fax
(773) 685-6559
NPI assigned
Nov 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2013

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

Authorized official

Name
Dr. Nicholas Charles Caro, MD
Title
Physician Surgeon
Phone
(773) 685-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

4151 W Peterson Ave
Chicago, IL 60646-6002

Mailing address

4151 W Peterson Ave
Chicago, IL 60646-6002
Phone (773) 685-5606

Other identifiers 1

IdentifierTypeStateIssuer
1617766OtherILBLUE CROSS BLUE SHIELD

Other names 1

  • Nicholas Caro, MD, LLC Other name

National Provider Directory

National Provider Directory

Locations

4145 W Peterson Ave
Ste 200
Chicago, IL 60646
Phone (773) 685-5606

4145 W Peterson Ave
#2
Chicago, IL 60646
Phone (773) 685-5606

4151 W Peterson Ave
Chicago, IL 60646
Phone (773) 685-5606

NPI Registry JSON

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

{
    "created_epoch": "1194480000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361404800000",
    "number": "1801076609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466002",
            "telephone_number": "773-685-5606",
            "fax_number": "773-685-6559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466002",
            "telephone_number": "773-685-5606",
            "fax_number": "773-685-6559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS C CARO MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-08",
        "last_updated": "2013-02-21",
        "status": "A",
        "authorized_official_last_name": "CARO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "PHYSICIAN SURGEON",
        "authorized_official_telephone_number": "773-685-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1617766",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicholas Caro, MD, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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 Feb 21, 2013; 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.