McHenry Optical LTD.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046007622 Issued in IL

Legal business name

MCHENRY OPTICAL LTD.

Practice address

4005 W Kane Ave
Suite F
McHenry, IL 60050-6305

Phone

(815) 385-9240

Fax

(815) 385-7512

NPI assigned

Aug 5, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Howard Sadofsky, O.D.NPI 1336228493

Title

President

Phone

(815) 385-9240

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Practitioners 1

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

• Howard Sadofsky, O.D.

  • Optometrist
  • McHenry, IL
  • NPI 1336228493
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1952310591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4005 W. KANE AVE.",
            "address_2": "SUITE F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600506305",
            "telephone_number": "815-385-9240",
            "fax_number": "815-385-7512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 W KANE AVE",
            "address_2": "SUITE F",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600506305",
            "telephone_number": "815-385-9240",
            "fax_number": "815-385-7512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCHENRY OPTICAL LTD.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-05",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "SADOFSKY",
        "authorized_official_first_name": "HOWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "815-385-9240",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046007622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• McHenry Radiologists and Imaging Associates SC
• McHenry Township Fire Protection District
• Michael McKay

• Optometrist in McHenry, IL
• Providers in McHenry, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.