Active NPI
Paul Barreda
- Optician
- Chicago, IL
National Provider Identifier
1801319538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optician
- Practice address
- 3948 W 26TH St
Suite 102
Chicago, IL 60623-3740 - Phone
- (773) 542-2020
- Fax
- (773) 542-7050
- NPI assigned
- Jul 25, 2017
- Last updated
- Jul 21, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optician | 156FX1800X | NU | Primary |
Addresses
Primary practice location
3948 W 26TH St
Suite 102
Chicago, IL 60623-3740
Mailing address
3948 W 26TH St Ste 102
Chicago, IL 60623-3740
Phone (773) 542-2020
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vista Eye Center | Current | Accepting new patients |
Locations
3948 W 26th St
Ste 102
Chicago, IL 60623
Phone (773) 542-2020
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Optometrist
- Chicago, IL
- NPI 1023531852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1801319538",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 W 26TH ST STE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233740",
"telephone_number": "773-542-2020",
"fax_number": "773-542-7050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 W 26TH ST",
"address_2": "SUITE 102",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233740",
"telephone_number": "773-542-2020",
"fax_number": "773-542-7050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARREDA",
"first_name": "PAUL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-07-25",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1800X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Optician",
"state": "NU",
"license": null,
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.