Vision Salon Eye Care Associates

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

VISION SALON EYE CARE ASSOCIATES

Practice address

840 E 87TH St
Suite 100
Chicago, IL 60619-6248

Phone

(773) 783-4424

Fax

(773) 783-3340

NPI assigned

Oct 11, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Ansel T Johnson, OD

Title

President

Phone

(773) 783-4424

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Vision Salon Eye Care Associates3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• The Vision Salon, LTD.

  • Optometrist
  • Blue Island, IL
  • NPI 1487727046
  NPD tax ID
• Vision Salon Eye Care Associates

  • Vision Therapy Optometrist
  • Blue Island, IL
  • NPI 1750330411
  NPD tax ID

Locations

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831287861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E 87TH ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196248",
            "telephone_number": "773-783-4424",
            "fax_number": "773-783-3340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E 87TH ST",
            "address_2": "SUITE 100",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606196248",
            "telephone_number": "773-783-4424",
            "fax_number": "773-783-3340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISION SALON EYE CARE ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ANSEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "773-783-4424",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IL ID",
            "identifier": "1636075",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vision Boutique, Inc.
• Vision Health Management Systems, Inc.
• Vision Home Care LLC
• Vision Imaging Professionals
• Vision Nutrition Counseling, LLC
• Visionary Eye Care Professionals PC
• Visionary Eye Care Professionals, PC
• Visions for Change Counseling Center, PC
• Visionworks Inc
• Visionworks, Inc

• Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.