Individual provider Active NPI

Jennifer L Redmond, OD

  • Optometrist
  • Oak Lawn, IL
National Provider Identifier
1003223488
Registry record updated Feb 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
046010671 Issued in IL
Practice address
4445 W 95TH St
Oak Lawn, IL 60453-7219
Phone
(708) 425-6500
Fax
(708) 425-1455
NPI assigned
Jul 17, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046010671 IL Primary

Addresses

Primary practice location

4445 W 95TH St
Oak Lawn, IL 60453-7219

Mailing address

4445 W 95TH St
Oak Lawn, IL 60453-7219
Phone (708) 425-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141021001719 IL Practitioner - Optometry 6204057052 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christina J. Levi O D P C.Group PAC ID 9436210762, 63 clinicians
DRS. Leahy and Disalvo-Ost, P.C.Group PAC ID 3678677895, 4 clinicians

Practice addresses (Care Compare)

10001 W 143Rd St
Orland Park, IL 60462-2026
Phone (708) 349-2600

4445 W 95TH St
Oak Lawn, IL 60453-7219
Phone (708) 425-6500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046010671ILMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Christina J. Levi O D P C Optometrist CurrentSince Oct 13, 2025 Accepting new patients
DRS. Leahy & Disalvo-Ost, P.C. Optometrist CurrentSince Sep 9, 2014 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

2100 Troy Rd
Edwardsville, IL 62025
Phone (618) 656-8888

4445 W 95th St
Oak Lawn, IL 60453
Phone (708) 422-2224

10001 W 143rd St
Orland Park, IL 60462
Phone (708) 349-2600

Networks

  • IL HMO C-SNP
  • devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
  • IL PPO Downstate
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806
  • devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1405555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1003223488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4445 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604537219",
            "telephone_number": "708-425-6500",
            "fax_number": "708-425-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4445 W 95TH ST",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604537219",
            "telephone_number": "708-425-6500",
            "fax_number": "708-425-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-17",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046010671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

Verify at the official NPI Registry.