Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Buena Vista Optical, PC

Organization Clinic/Center · NPI 1740464296

Buena Vista Optical, PC is a Clinic/Center in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6455 S Kedzie Ave
Chicago, IL 60629-2829
Phone: (773) 863-9234
Fax: (773) 863-9274
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 046-009243 (IL)
Eyewear Supplier Taxonomy 332H00000X · Licence 046-009243 (IL)

Record details

NPI number1740464296
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Sims — President · (773) 863-9234
NPI enumeratedDecember 19, 2007
Last updated in NPPESSeptember 11, 2013
Mailing address6455 S Kedzie Ave, Chicago, IL 60629-2829

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