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BUENA VISTA OPTICAL, P.C.
NPI 1740464296
Clinic/Center in Chicago, IL

Active since December 19, 2007CLIA 14D2064975 · Waiver
6455 S KEDZIE AVE, CHICAGO, IL 60629(773) 863-9234(773) 863-9274 Get Directions Write a Review

NPPES record last updated: September 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Buena Vista Optical, P.c. NPPES

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

BUENA VISTA OPTICAL, P.C. (NPI 1740464296) is a healthcare organization registered as a clinic/center in Chicago, Illinois and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through August 29, 2027 and lists Todd Sims, President, as its authorized official.

NPPES Registry Identity

NPI1740464296
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameBUENA VISTA OPTICAL, P.C.
Location Address6455 S KEDZIE AVEChicago, IL 60629-2829
Mailing Address6455 S Kedzie AveChicago, IL 60629-2829 · (773) 863-9234 · Fax (773) 863-9274
Phone(773) 863-9234
Fax(773) 863-9274
Organization SubpartNo
Authorized OfficialTodd SimsPresident · (773) 863-9234
Enumeration DateDecember 19, 2007
Last NPPES UpdateSeptember 11, 2013
✔ NPI 1740464296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in IL · 046-009243
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).
Also ListedEyewear SupplierTaxonomy 332H00000X · License 046-009243 (IL)
6455 S KEDZIE AVE, Chicago, IL 60629
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 14D2064975

Buena Vista Optical P C · Chicago, IL
Active · expires Aug 29, 2027
CLIA Number14D2064975
Laboratory TypePractitioner Other
Certificate Effective DateAugust 30, 2025
Certificate Expiration DateAugust 29, 2027
Laboratory DirectorTodd Sims O D
Laboratory Phone(773) 863-9234
Laboratory LocationBuena Vista Optical P C6455 S Kedzie Ave, Chicago, IL 60629
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

NEHA SHAH O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
PARISA MOBINI O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
FERNAND FELIPE JIMENEZ O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
DR. TODD WAYNE SIMS O.D.
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234
MIGUEL ANGEL SANDOVAL OD
Optometrist
6455 S KEDZIE AVE
CHICAGO, IL 60629
Cook County (773) 863-9234

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 Buena Vista Optical, P.C.'s NPI number?

The NPI number for Buena Vista Optical, P.C. is 1740464296. It was assigned to this organization in the NPPES registry on December 19, 2007.

Where is Buena Vista Optical, P.C. located?

Buena Vista Optical, P.C. is located at 6455 S Kedzie Ave, Chicago, IL 60629. The listed phone number is (773) 863-9234.

What is Buena Vista Optical, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Buena Vista Optical, P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D2064975) is associated with this NPI, valid through August 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Buena Vista Optical, P.C. accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Buena Vista Optical, P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Buena Vista Optical, P.C. was last updated on September 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.