Active NPI
Vista Eye Center
- Optometrist
- Chicago, IL
National Provider Identifier
1962704841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046 8255
- Legal business name
- VISTA EYE CENTER
- Practice address
- 3948 W 26TH St
Chicago, IL 60623-3738 - Phone
- (773) 542-2020
- NPI assigned
- Nov 26, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gregory J Artim, O.D.
- Title
- Optometrist
- Phone
- (773) 542-2020
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 046 8255 | IL | Primary |
Addresses
Primary practice location
3948 W 26TH St
Chicago, IL 60623-3738
Mailing address
3948 W 26TH St
Chicago, IL 60623-3738
Phone (773) 542-2020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780739862 | Other | IL | PERSONAL NPI |
National Provider Directory
National Provider Directory- Tax ID family
- Id Chicago Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Optometrist
- Chicago, IL
- NPI 1629371067
Locations
3948 W 26th St
Chicago, IL 60623
Phone (312) 893-7119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290729600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1290729600000",
"number": "1962704841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3948 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233738",
"telephone_number": "773-542-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3948 W 26TH ST",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606233738",
"telephone_number": "773-542-2020"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISTA EYE CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2010-11-26",
"last_updated": "2010-11-26",
"status": "A",
"authorized_official_last_name": "ARTIM",
"authorized_official_first_name": "GREGORY",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "OPTOMETRIST",
"authorized_official_telephone_number": "773-542-2020",
"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 8255",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL NPI",
"identifier": "1780739862",
"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 Nov 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.