Active NPI
Magdy Mina, ABOC
- Ocularist
- Downers Grove, IL
National Provider Identifier
1922432731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ocularist
- License
- 171733
- Practice address
- 1525C Ogden Ave
Downers Grove, IL 60515 - Phone
- (630) 699-2180
- NPI assigned
- Aug 28, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ocularist | 156FX1700X | 171733 | IL | Primary |
Addresses
Primary practice location
1525C Ogden Ave
Downers Grove, IL 60515
Mailing address
1525C Ogden Ave
Downers Grove, IL 60515
Phone (630) 699-2180
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 171733 | Other | IL | OPTICIANS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 171733 | IL | MD | Ocularist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377648000000",
"number": "1922432731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525C OGDEN AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-699-2180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525C OGDEN AVE",
"city": "DOWNERS GROVE",
"state": "IL",
"postal_code": "60515",
"telephone_number": "630-699-2180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINA",
"first_name": "MAGDY",
"name_prefix": "Mr.",
"credential": "ABOC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-08-28",
"last_updated": "2013-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "156FX1700X",
"taxonomy_group": "",
"desc": "Technician/Technologist, Ocularist",
"state": "IL",
"license": "171733",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTICIANS LICENSE",
"identifier": "171733",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Downers Grove, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.