Organization Active NPI

J. a. Nolan, OD LTD

  • Optometrist
  • Worth, IL
National Provider Identifier
1992704365
Registry record updated Jan 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
0467216 Issued in IL
Legal business name
J. A. NOLAN, OD LTD
Practice address
11412 S Harlem Ave
Worth, IL 60482-2004
Phone
(708) 422-7000
Fax
(708) 448-4295
NPI assigned
Jul 19, 2005
Last updated
Jan 3, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2008

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

Authorized official

Name
Dr. John Joseph Nolan, O.D.
Title
President
Phone
(708) 422-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 0467216 IL Primary

Addresses

Primary practice location

11412 S Harlem Ave
Worth, IL 60482-2004

Mailing address

11412 S Harlem Ave
Worth, IL 60482-2004
Phone (708) 422-7000

National Provider Directory

National Provider Directory

Locations

11412 S Harlem Ave
Worth, IL 60482
Phone (708) 422-7000

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1992704365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11412 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822004",
            "telephone_number": "708-422-7000",
            "fax_number": "708-448-4295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11412 S HARLEM AVE",
            "city": "WORTH",
            "state": "IL",
            "postal_code": "604822004",
            "telephone_number": "708-422-7000",
            "fax_number": "708-448-4295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. A. NOLAN, OD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-19",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "NOLAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-422-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "O.D."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "0467216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Worth, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.