Panicker Optometry LLC

Panicker Optometry LLC is a healthcare organization registered as Optometrist in Forest Park, IL, holding Type 2 (organization) NPI 1144083296 since 2024. The authorized official on file is Jaison Panicker, Optometrist.

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NPI	1144083296
Entity type	Organization (Type 2)
Legal business name	Panicker Optometry LLC
Practice address	1300 DES PLAINES AVE, Forest Park, IL, 60130
Phone	7084880383
Enumeration date	2024-02-01
Last updated in NPPES	2024-02-01

Authorized official

Name	Jaison Panicker
Title	Optometrist
Phone	6304793411

Taxonomy & classification

Taxonomy code	Specialty	Primary	License	State
152W00000X	Optometrist	Primary	—	—

Copy-ready billing details

Provider: Panicker Optometry LLC
NPI: 1144083296
Taxonomy: 152W00000X (Optometrist)
Address: 1300 DES PLAINES AVE, Forest Park, IL, 60130

Providers at this address

NPI	Name	Type	Specialty	Location
1194743617	Walmart Inc.	Organization	Community/Retail Pharmacy	Forest Park, IL
1508141219	Wal-Mart Stores Inc	Organization	Eyewear Supplier	Forest Park, IL
1801496658	Kathryn Deraedt	Individual	Pharmacist	Forest Park, IL

Verify this record

Cross-check NPI 1144083296 against the authoritative CMS record: view Panicker Optometry LLC on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

Where is Panicker Optometry LLC located?

The practice location on file with NPPES is in Forest Park, IL.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-02-01. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-02-01.