Organization Active NPI

Ocular Diagnostics SC

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1821265158
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
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

Updated by the provider on May 15, 2008

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)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
21604189OtherILBCBS PROVIDER NO

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.