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

Last updated

Mar 19, 2024By the provider in NPPES

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.NPI 1346218401

Title

Owner/President

Phone

(812) 385-2225

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Wagih A Satar, M.D.

  • Ophthalmology Physician
  • Princeton, IN
  • NPI 1346218401
  Authorized official Same address or phone

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": []
}

• Valerie Burns, MD
• Andrew F. Caldwell
• Gary D Carr, MD
• CHI National Home Care, LLC (Good Samaritan Hospice)
• William Scott Childress
• Tiffany Clapp
• Community Alternatives Illinois, Inc.
• County of Lawrence Health Department (Lawrence County Health Department Palliative Care)
• County of Lawrence Health Department
• County of Lawrence Health Department (Lawrence County Behavior Health)

• Optometrist in Lawrenceville, IL
• Providers in Lawrenceville, IL by specialty
• 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.