GRANVILLE VISION CENTER
NPI 1285818120
Clinic/Center in Chicago, IL

Active since December 27, 2007
1108 W GRANVILLE AVE, CHICAGO, IL 60660(773) 465-6660(773) 274-8222 Get Directions Write a Review

NPPES record last updated: September 9, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Granville Vision Center NPPES

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

GRANVILLE VISION CENTER (NPI 1285818120) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since December 2007. The organization lists Ernest Isamu Watanabe, President, as its authorized official.

NPPES Registry Identity

NPI1285818120
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameERNEST I. WATANABE, O.D. LTD.
Location Address1108 W GRANVILLE AVEChicago, IL 60660-2013
Mailing Address1108 W Granville AveChicago, IL 60660-2013 · (773) 465-6660 · Fax (773) 274-8222
Fax(773) 274-8222
Organization SubpartNo
Authorized OfficialErnest Isamu WatanabePresident · (773) 465-6660
Enumeration DateDecember 27, 2007
Last NPPES UpdateSeptember 9, 2008
NPI 1285818120 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in IL · 046006692
Definition

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).

1108 W GRANVILLE AVE, Chicago, IL 60660

Other Names 1

Doing Business AsGranville Vision Center

Other Identifiers 5

Other1053488569Individual Npi #
Medicare NSC4703500001IL
Medicare PIN900840IL
Other046006692IL · Il State License
Medicare UPIN12019IL

Other Providers at the Same Location NPPES 2

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

Optometrist
1108 W GRANVILLE AVE
CHICAGO, IL 60660
Nurse Practitioner (Psychiatric/Mental Health)
1108 W GRANVILLE AVE
CHICAGO, IL 60660

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.