Organization Active NPI

Nikogosian Vision Care

  • Optometrist
  • Round Lake, IL
National Provider Identifier
1891041364
Registry record updated Aug 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010459 Issued in IL
Legal business name
NIKOGOSIAN VISION CARE
Practice address
558 W Galeton Dr
Round Lake, IL 60073-5605
Phone
(847) 293-6906
NPI assigned
Aug 2, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2012

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

Authorized official

Name
Dr. Karina Nikogosian, O.D.
Title
President/Optometrist
Phone
(847) 293-6906

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046010459 IL Primary

Addresses

Primary practice location

558 W Galeton Dr
Round Lake, IL 60073-5605

Mailing address

558 W Galeton Dr
Round Lake, IL 60073-5605

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343865600000",
    "number": "1891041364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "558 W GALETON DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 W GALETON DR",
            "city": "ROUND LAKE",
            "state": "IL",
            "postal_code": "600735605",
            "telephone_number": "847-293-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NIKOGOSIAN VISION CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-02",
        "last_updated": "2012-08-02",
        "status": "A",
        "authorized_official_last_name": "NIKOGOSIAN",
        "authorized_official_first_name": "KARINA",
        "authorized_official_title_or_position": "PRESIDENT/OPTOMETRIST",
        "authorized_official_telephone_number": "847-293-6906",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Lake, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; 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.