Organization Active NPI

Joseph Uyeda OD PC

  • Optometrist
  • Skokie, IL
National Provider Identifier
1942408034
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046-008204 Issued in IL
Legal business name
JOSEPH UYEDA OD PC
Practice address
4349 Howard St
Skokie, IL 60076-3755
Phone
(847) 677-8022
Fax
(847) 677-8029
NPI assigned
Jul 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2014

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

Authorized official

Name
Dr. Joseph T Uyeda, O.D.
Title
Doctor/Owner
Phone
(847) 677-8022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046-008204 IL Primary

Addresses

Primary practice location

4349 Howard St
Skokie, IL 60076-3755

Mailing address

4349 Howard St
Skokie, IL 60076-3755
Phone (847) 677-8022

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413849600000",
    "number": "1942408034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4349 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763755",
            "telephone_number": "847-677-8022",
            "fax_number": "847-677-8029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4349 HOWARD ST",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600763755",
            "telephone_number": "847-677-8022",
            "fax_number": "847-677-8029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH UYEDA OD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-10",
        "last_updated": "2014-10-21",
        "status": "A",
        "authorized_official_last_name": "UYEDA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "DOCTOR/OWNER",
        "authorized_official_telephone_number": "847-677-8022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046-008204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Skokie, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; 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.