NPIMap

Organization Active NPI

Nierman Vision Center

  • Optometrist
  • Chicago, IL
National Provider Identifier
1851692644
Registry record updated Jul 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
MN1954608 Issued in IL
Legal business name
NIERMAN VISION CENTER
Doing business as
NIERMAN VISION CENTER
Practice address
243 W North Ave
Chicago, IL 60610-1236
Phone
(312) 337-1126
Fax
(312) 337-1609
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2013

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

Authorized official

Name
Dr. David Scott Nierman, O.D.NPI 1275678013
Title
Owner
Phone
(312) 337-1126

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X MN1954608 IL Primary

Addresses

Primary practice location

243 W North Ave
Chicago, IL 60610-1236

Mailing address

243 W North Ave
Chicago, IL 60610-1236
Phone (312) 337-1126

Other identifiers 2

IdentifierTypeStateIssuer
99301OtherILWPS SUBMITTER NUMBER
IL8498OtherILMEDICARE PTAN

Other names 1

  • NIERMAN VISION CENTER Doing business as

National Provider Directory

National Provider Directory

Locations

243 W North Ave
Chicago, IL 60610
Phone (312) 337-1126

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375056000000",
    "number": "1851692644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101236",
            "telephone_number": "312-337-1126",
            "fax_number": "312-337-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 W NORTH AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606101236",
            "telephone_number": "312-337-1126",
            "fax_number": "312-337-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIERMAN VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2013-07-29",
        "status": "A",
        "authorized_official_last_name": "NIERMAN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "SCOTT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-337-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "MN1954608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WPS SUBMITTER NUMBER",
            "identifier": "99301",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IL8498",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NIERMAN VISION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 29, 2013; 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.