Teodoro Carrillo, OPTICIAN

Primary specialty

OpticianTaxonomy code 156FX1800X

License

2511-5278 Issued in IL

Practice address

4610 N Lincoln Ave
Chicago, IL 60625-2008

Phone

(773) 561-0870

Fax

(773) 561-4185

NPI assigned

Mar 21, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quality Optical Inc

  • Optician
  • Chicago, IL
  • NPI 1619337946
  NPD (past) Authorized official
• Vintage Eyephoria

  • Optician
  • Chicago, IL
  • NPI 1740649078
  NPD (past) Authorized official

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1962528372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4610 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252008",
            "telephone_number": "773-561-0870",
            "fax_number": "773-561-4185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252008",
            "telephone_number": "773-561-0870",
            "fax_number": "773-561-4185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRILLO",
        "first_name": "TEODORO",
        "name_prefix": "Mr.",
        "credential": "OPTICIAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "156FX1800X",
            "taxonomy_group": "",
            "desc": "Technician/Technologist, Optician",
            "state": "IL",
            "license": "2511-5278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janet Carrillo
• Liliana Carrillo
• Patricia Carrillo
• Rebecca Carrillo
• Stephanie Carrillo, MSW
• Carrington Radiology, S.C.
• Carmesha Patrice Carrington, FNP-C
• David Winston Carrington, M.D.
• Aldrin C Carrion, D.C.
• Juliana C Carrion, LSW

• Optician in Chicago, IL
• Providers in Chicago, IL by specialty
• Optician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.