Organization Active NPI

Sauganash Family Eye Center, LLC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1801105697
Registry record updated Nov 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
047932887 Issued in IL
Legal business name
SAUGANASH FAMILY EYE CENTER, LLC
Practice address
4151 W Peterson Ave
Chicago, IL 60646-6002
Phone
(773) 685-5606
Fax
(773) 685-6559
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2010

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

Authorized official

Name
Dr. Stephen P Steinmetz, O.D.
Title
Co-Owner
Phone
(773) 685-5606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 047932887 IL 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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289779200000",
    "number": "1801105697",
    "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": "SAUGANASH FAMILY EYE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-11-15",
        "status": "A",
        "authorized_official_last_name": "STEINMETZ",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "773-685-5606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "047932887",
            "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 Nov 15, 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.