Chittick Optical Inc

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010205 Issued in IL

Legal business name

CHITTICK OPTICAL INC

Practice address

1213 State Street
Lawrenceville, IL 62439-2332

Phone

(618) 943-5713

Fax

(618) 943-5716

NPI assigned

Nov 9, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Wagih A Satar, M.D.

Title

Owner/President

Phone

(812) 385-2225

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1163030400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710806400000",
    "number": "1821168428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2020 SHERMAN DR",
            "city": "PRINCETON",
            "state": "IN",
            "postal_code": "476701045",
            "telephone_number": "812-385-2225",
            "fax_number": "812-385-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1213 STATE STREET",
            "city": "LAWRENCEVILLE",
            "state": "IL",
            "postal_code": "624392332",
            "telephone_number": "618-943-5713",
            "fax_number": "618-943-5716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHITTICK OPTICAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-09",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-19",
        "status": "A",
        "authorized_official_last_name": "SATAR",
        "authorized_official_first_name": "WAGIH",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "812-385-2225",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010205",
            "primary": true
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036.064073",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Lawrenceville, IL
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.