Pupil Vision Center

Primary specialty

Optometric TechnicianTaxonomy code 156FX1202X

Legal business name

PUPIL VISION CENTER

Practice address

5233 N Lincoln Ave
Chicago, IL 60625-2405

Phone

(312) 350-8269

NPI assigned

Sep 5, 2014

Organization subpart

No

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

Authorized official

Name

Renee Russo

Title

Administrator

Phone

(312) 350-8269

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1409875200000",
    "number": "1982005260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5233 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252405",
            "telephone_number": "312-350-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5233 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606252405",
            "telephone_number": "312-350-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUPIL VISION CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2014-09-05",
        "status": "A",
        "authorized_official_last_name": "RUSSO",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "312-350-8269"
    },
    "taxonomies": [
        {
            "code": "156FX1202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician/Technologist, Optometric Technician",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Minette Lingan Punsalan
• Nicolette Ann Puntini
• Indru Punwani, DDS
• Benjamin William Puodziunas, RD
• Maurice Puomaaye Konta
• Shilpa Puppala, MD
• Shyam Puppala, MD
• John David Purakal, M.D., M.S.
• Caitlin Purcell
• Michael J Purcell, PSYD

• Technician/Technologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Technician/Technologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2014; 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.