1. Home
  2. Directory
  3. Illinois
  4. Forest Park
  5. Optometrist
  6. NPI Profile

PANICKER OPTOMETRY LLC
NPI 1144083296
Optometrist in Forest Park, IL

Active since February 01, 2024
1300 DES PLAINES AVE, FOREST PARK, IL 60130(708) 488-0383 Get Directions Write a Review

NPPES record last updated: February 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Panicker Optometry Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PANICKER OPTOMETRY LLC (NPI 1144083296) is a healthcare organization registered as an optometrist in Forest Park, Illinois and active in the NPI registry since February 2024. The organization lists Jaison Panicker, Optometrist, as its authorized official.

NPPES Registry Identity

NPI1144083296
Entity TypeOrganization
Primary Taxonomy152W00000X
Legal Business NamePANICKER OPTOMETRY LLC
Location Address1300 DES PLAINES AVEForest Park, IL 60130-2507
Mailing Address793 Barclay DrBolingbrook, IL 60440-6105
Phone(708) 488-0383
Organization SubpartNo
Authorized OfficialJaison PanickerOptometrist · (630) 479-3411
Enumeration DateFebruary 1, 2024
NPPES CertifiedFebruary 1, 2024
✔ NPI 1144083296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1300 DES PLAINES AVE, Forest Park, IL 60130
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WALMART INC.
Pharmacy (Community/Retail Pharmacy)
1300 DES PLAINES AVE
FOREST PARK, IL 60130
Cook County (708) 771-2238
WAL-MART STORES INC
Eyewear Supplier
1300 DES PLAINES AVE
FOREST PARK, IL 60130
Cook County (708) 771-2270
KATHRYN DERAEDT RPH
Pharmacist
1300 DES PLAINES AVE
FOREST PARK, IL 60130
Cook County (708) 771-2238

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Panicker Optometry LLC's NPI number?

The NPI number for Panicker Optometry LLC is 1144083296. It was assigned to this organization in the NPPES registry on February 1, 2024.

Where is Panicker Optometry LLC located?

Panicker Optometry LLC is located at 1300 Des Plaines Ave, Forest Park, IL 60130. The listed phone number is (708) 488-0383.

What is Panicker Optometry LLC's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

When was this NPI record last updated?

The NPPES record for Panicker Optometry LLC was last updated on February 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.