Active NPI
Jennifer L Redmond, OD
- Optometrist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046010671
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 046010671 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christina J. Levi O D P C | Optometrist | Current | Accepting new patients |
| DRS. Leahy & Disalvo-Ost, P.C. | Optometrist | Current | 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.
-
- Optometrist
- Edwardsville, IL
- NPI 1477703411
-
- Optometrist
- Oak Lawn, IL
- NPI 1093851487
-
- Optometrist
- Edwardsville, IL
- NPI 1033261904
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.