Organization Active NPI

Arseneau Optical of Kankakee Inc

  • Optician
  • Kankakee, IL
National Provider Identifier
1801987367
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OpticianTaxonomy code 156FX1800X
Legal business name
ARSENEAU OPTICAL OF KANKAKEE INC
Practice address
135 W Court St
Kankakee, IL 60901
Phone
(815) 933-5798
Fax
(815) 929-5760
NPI assigned
Sep 27, 2006
Last updated
Jul 3, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Mary Trost
Title
Pres Optician
Phone
(815) 933-5798

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156F00000X
Contact Lens Technician/TechnologistGroup: 193200000X MULTI-SPECIALTY GROUP 156FC0800X
OpticianGroup: 193200000X MULTI-SPECIALTY GROUP 156FX1800X Primary

Addresses

Primary practice location

135 W Court St
Kankakee, IL 60901

Mailing address

135 W Court St
Kankakee, IL 60901
Phone (815) 933-5798

National Provider Directory

National Provider Directory

Locations

135 W Court St
Kankakee, IL 60901
Phone (708) 710-5608

135 W Court St
#104
Kankakee, IL 60901

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1801987367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "60901",
            "telephone_number": "815-933-5798",
            "fax_number": "815-929-5760"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W COURT ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "60901",
            "telephone_number": "815-933-5798",
            "fax_number": "815-929-5760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARSENEAU OPTICAL OF KANKAKEE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "TROST",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "PRES OPTICIAN",
        "authorized_official_telephone_number": "815-933-5798"
    },
    "taxonomies": [
        {
            "code": "156F00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FC0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Contact Lens",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "156FX1800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician/Technologist, Optician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kankakee, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.