Visualeyes

Primary specialty

OptometristTaxonomy code 152W00000X

License

046008203 Issued in IL

Legal business name

VISUALEYES

Doing business as

chicago vision club

Practice address

504 Main St
Evanston, IL 60202-1815

Phone

(847) 869-2020

Fax

(847) 475-4236

NPI assigned

Apr 6, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fernando F Mosqueda, O.D.NPI 1720077928

Title

Optometrist

Phone

(847) 869-2020

Specialties & licenses 1

Addresses

Other names 1

• chicago vision club Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Fernando F Mosqueda, O.D.

  • Optometrist
  • Evanston, IL
  • NPI 1720077928
  NPD (past) Authorized official

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238976000000",
    "number": "1851533871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021815",
            "telephone_number": "847-869-2020",
            "fax_number": "847-475-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 MAIN ST",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "602021815",
            "telephone_number": "847-869-2020",
            "fax_number": "847-475-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISUALEYES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-04-06",
        "status": "A",
        "authorized_official_last_name": "MOSQUEDA",
        "authorized_official_first_name": "FERNANDO",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OPTOMETRIST",
        "authorized_official_telephone_number": "847-869-2020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046008203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "chicago vision club",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Terry Ann Dornak Viloria, PSY.D.
• Jesse L. Viner, M.D.
• Laura Lynn Viner, PH. D.
• Vishnu D Gaiha MD SC
• Vision Surgeons and Consultants, LTD
• Katya Viswanadhan, PSY.D
• Nhat Linh Vo, MD
• James M Voci, MD
• Nicholas Voelkner
• Beth Ann Vogel

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2009; 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.