GRANVILLE VISION CENTER
NPI 1285818120
Clinic/Center in Chicago, IL
- Organization
- Clinic/Center
About GRANVILLE VISION CENTER
This page provides the complete NPI Profile along with additional information for Granville Vision Center, a provider established in Chicago, Illinois operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1285818120 assigned on December 2007. The practitioner's primary taxonomy code is 261Q00000X with license number 046006692 (IL). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Granville Vision Center. The authorized official of this NPI record is Dr. Ernest Isamu Watanabe O.d. (President)
- NPI
- 1285818120 Verify this NPI
- Provider Legal Name
- ERNEST I. WATANABE, O.D. LTD.
- Other Organization Name
- GRANVILLE VISION CENTER
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 1108 W GRANVILLE AVE CHICAGO, IL 60660
- Location Phone
- (773) 465-6660
- Location Fax
- (773) 274-8222
- Mailing Address
- 1108 W GRANVILLE AVE CHICAGO, IL 60660
- Mailing Phone
- (773) 465-6660
- Mailing Fax
- (773) 274-8222
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-27-2007
- Last Update Date
- 09-09-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 046006692
- License State
- IL
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1053488569 | OTHER (01) | INDIVIDUAL NPI # | |
| 4703500001 | MEDICARE NSC (07) | IL | |
| 900840 | MEDICARE PIN (08) | IL | |
| 046006692 | OTHER (01) | IL | IL STATE LICENSE |
| 12019 | MEDICARE UPIN (02) | IL |
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1285818120, enumerated as an "organization" on December 27, 2007.
The provider is located at 1108 W GRANVILLE AVE CHICAGO, IL 60660 and the phone number is (773) 465-6660.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
