Organization Active NPI

Winitz Optical Inc.

  • Optometrist
  • Chicago, IL
National Provider Identifier
1952839599
Registry record updated Aug 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046009919 Issued in IL
Legal business name
WINITZ OPTICAL INC.
Practice address
4151 W Peterson Ave
Chicago, IL 60646-6002
Phone
(773) 685-5606
NPI assigned
May 26, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2017

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

Authorized official

Name
Alexis Scatchell, OD
Title
Optometrist/Partner
Phone
(773) 458-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X 046009919 IL Primary

Addresses

Primary practice location

4151 W Peterson Ave
Chicago, IL 60646-6002

Mailing address

4151 W Peterson Ave
Chicago, IL 60646-6002

Other identifiers 1

IdentifierTypeStateIssuer
0469919MedicaidIL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1495756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502064000000",
    "number": "1952839599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4151 W PETERSON AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606466002",
            "telephone_number": "773-685-5606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINITZ OPTICAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-26",
        "last_updated": "2017-08-07",
        "status": "A",
        "authorized_official_last_name": "SCATCHELL",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "OPTOMETRIST/PARTNER",
        "authorized_official_telephone_number": "773-458-3230",
        "authorized_official_credential": "OD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046009919",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469919",
            "state": "IL"
        }
    ],
    "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 Aug 7, 2017; 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.