Active NPI
Ocular Diagnostics SC
- Ophthalmology Physician
- Chicago, IL
National Provider Identifier
1821265158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- Legal business name
- OCULAR DIAGNOSTICS SC
- Practice address
- 5201 N Harlem Ave
Chicago, IL 60656-1803 - Phone
- (773) 774-2102
- Fax
- (773) 774-3581
- NPI assigned
- May 15, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Harry Fournier, MD
- Title
- President
- Phone
- (773) 774-2102
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | Primary |
Addresses
Primary practice location
5201 N Harlem Ave
Chicago, IL 60656-1803
Mailing address
5201 N Harlem Ave
Chicago, IL 60656-1803
Phone (773) 774-2102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21604189 | Other | IL | BCBS PROVIDER NO |
National Provider Directory
National Provider DirectoryLocations
5201 N Harlem Ave
Chicago, IL 60656
Phone (773) 774-2102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1210809600000",
"number": "1821265158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561803",
"telephone_number": "773-774-2102",
"fax_number": "773-774-3581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 N HARLEM AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606561803",
"telephone_number": "773-774-2102",
"fax_number": "773-774-3581"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCULAR DIAGNOSTICS SC",
"organizational_subpart": "NO",
"enumeration_date": "2008-05-15",
"last_updated": "2008-05-15",
"status": "A",
"authorized_official_last_name": "FOURNIER",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "HARRY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-774-2102",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER NO",
"identifier": "21604189",
"state": "IL"
}
],
"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 May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.