Organization Active NPI

Solo Eye Care University Village PLLC

  • Optometrist
  • Chicago, IL
National Provider Identifier
1881834836
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009995 Issued in IL
Legal business name
SOLO EYE CARE UNIVERSITY VILLAGE PLLC
Practice address
1306 S Halsted St
Chicago, IL 60607-5022
Phone
(312) 455-1306
Fax
(312) 455-1310
NPI assigned
Mar 4, 2009
Last updated
Mar 17, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Lauren Sullivan
Title
Admin
Phone
(312) 588-5999

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046009995 IL Primary
Optometrist 152W00000X 0460009895 IL

Addresses

Primary practice location

1306 S Halsted St
Chicago, IL 60607-5022

Mailing address

3460 S Halsted St
Chicago, IL 60608-6743
Phone (312) 225-5135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251118000542 IL Part B Supplier - Clinic/Group Practice 6305337338 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL

National Provider Directory

National Provider Directory

Locations

1306 S Halsted St
Chicago, IL 60607
Phone (312) 455-1306

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1881834836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3460 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606086743",
            "telephone_number": "312-225-5135",
            "fax_number": "312-225-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1306 S HALSTED ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606075022",
            "telephone_number": "312-455-1306",
            "fax_number": "312-455-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLO EYE CARE UNIVERSITY VILLAGE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "312-588-5999"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009995",
            "primary": true
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0460009895",
            "primary": false
        }
    ],
    "identifiers": [],
    "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 Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.