VINTAGE EYEPHORIA
NPI 1740649078
Technician/Technologist - Optician in Chicago, IL

Active since February 15, 2016
4610 N LINCOLN AVE, CHICAGO, IL 60625(773) 561-0870 Get Directions Write a Review

NPPES record last updated: February 15, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Vintage Eyephoria NPPES

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

VINTAGE EYEPHORIA (NPI 1740649078) is a healthcare organization registered as an optician in Chicago, Illinois and active in the NPI registry since February 2016. The organization lists Teodoro Carrillo, Owner, as its authorized official.

NPPES Registry Identity

NPI1740649078
Entity TypeOrganization
Primary Taxonomy156FX1800X
Legal Business NameVINTAGE EYEPHORIA
Location Address4610 N LINCOLN AVEChicago, IL 60625-2008
Mailing Address4610 N Lincoln AveChicago, IL 60625-2008
Organization SubpartNo
Authorized OfficialTeodoro CarrilloOwner · (773) 561-0870
Enumeration DateFebruary 15, 2016
NPI 1740649078 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyTechnician/Technologist · OpticianEye and Vision Services Providers
Taxonomy Code156FX1800X
License Licensed in IL · 41564499
Definition
Opticians help fit eyeglasses and contact lenses, following prescriptions from Ophthalmologists and Optometrists. They also help customers decide which eyeglass frame or contact lenses to buy.
4610 N LINCOLN AVE, Chicago, IL 60625

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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.

Technician/Technologist (Optician)
4610 N LINCOLN AVE
CHICAGO, IL 60625
Technician/Technologist (Optician)
4610 N LINCOLN AVE
CHICAGO, IL 60625

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 Vintage Eyephoria's NPI number?

The NPI number for Vintage Eyephoria is 1740649078. It was assigned to this organization in the NPPES registry on February 15, 2016.

Where is Vintage Eyephoria located?

Vintage Eyephoria is located at 4610 N Lincoln Ave, Chicago, IL 60625. The listed phone number is (773) 561-0870.

What is Vintage Eyephoria's specialty?

The primary specialty registered for this NPI is Technician/Technologist, specializing in Optician, with taxonomy code 156FX1800X.

When was this NPI record last updated?

The NPPES record for Vintage Eyephoria was last updated on February 15, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.