Danada Vision Center, LLC

Primary specialty

OptometristTaxonomy code 152W00000X

License

IL-046008403 Issued in IL

Legal business name

DANADA VISION CENTER, LLC

Practice address

115 Danada SQ E
Wheaton, IL 60189-2008

Phone

(630) 668-0378

Fax

(630) 668-1989

NPI assigned

Feb 27, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Christian G Burch, O.D.NPI 1699883033

Title

President/Owner

Phone

(630) 668-0378

Specialties & licenses 1

Addresses

Tax ID family

Danada Vision Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Danada Vision Center, LLC

  • Corneal and Contact Management Optometrist
  • Wheaton, IL
  • NPI 1467616235
  NPD tax ID

Locations

Practitioners 1

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

• Christian G Burch, OD

  • Optometrist
  • Wheaton, IL
  • NPI 1699883033
  NPD Authorized official

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

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361923200000",
    "number": "1962742940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 DANADA SQ E",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892008",
            "telephone_number": "630-668-0378",
            "fax_number": "630-668-1989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 DANADA SQ E",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892008",
            "telephone_number": "630-668-0378",
            "fax_number": "630-668-1989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANADA VISION CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A",
        "authorized_official_last_name": "BURCH",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "630-668-0378",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": "IL-046008403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Allen Dale Jr., DDS
• Sarah Daley, MA
• Gerri Lynn Dambra
• Danada Vein Care SC
• Danada Vision Center, LLC
• Melisa Dangles
• Ryan M. Daniels, LPC
• Trisshauna Daniels
• Melissa Nicole Dattalo, MD, MPH
• Ashley Daukus

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.