Ann Sonia Kalladanthyil, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

046.010960 Issued in IL

Practice address

2017 75TH St
Woodridge, IL 60517-2308

Phone

(630) 427-1000

Fax

(630) 427-1181

NPI assigned

Oct 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Optometry

Education

New England College of Optometry, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Networks

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

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.

• Professional Eye Care

  • Optometrist
  • Woodridge, IL
  • NPI 1861643355
  NPD (past)
• Gulf Coast Optometry, PA

  • Corneal and Contact Management Optometrist
  • Tampa, FL
  • NPI 1083859409
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Altamonte Springs, FL
  • NPI 1023164886
  NPD (past)
• National Vision, Inc.

  • Eyewear Supplier
  • Fort Meyers, FL
  • NPI 1477607521
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1013243161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 75TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172308",
            "telephone_number": "630-427-1000",
            "fax_number": "630-427-1181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2017 75TH ST",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605172308",
            "telephone_number": "630-427-1000",
            "fax_number": "630-427-1181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLADANTHYIL",
        "first_name": "ANN",
        "middle_name": "SONIA",
        "name_prefix": "Ms.",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-26",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "FL",
            "license": "OPC 4469",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046.010960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Johnson, PA-C
• Bobby Jones
• Julie Kuraja Jumes
• Tosha R Kadakia
• Kalladanthyil Eyes LTD.
• Renuka J Kalvani, PT
• Asim Kamal, LAC
• Brigit B Karimkuttyil, BSN, IBCLC, MSN-FNPC
• Daiva Valeria Karuza, LCPC
• Amy Rose Leping Kaschner, DPT, PT

• Optometrist in Woodridge, IL
• Providers in Woodridge, IL by specialty
• Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.