Individual provider Active NPI

Ayman Tabani, OD

  • Optometrist
  • Deerfield, IL
National Provider Identifier
1013564111
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3581-35 Issued in WI
Practice address
360 S Waukegan Rd Ste a
Deerfield, IL 60015-5654
Phone
(847) 412-0311
Fax
(847) 412-0316
NPI assigned
Aug 22, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 046011367 IL
Optometrist 152W00000X 3581-35 WI Primary

Addresses

Primary practice location

360 S Waukegan Rd Ste a
Deerfield, IL 60015-5654

Mailing address

4700 Old Orchard Rd Apt 308
Skokie, IL 60076-1022
Phone (224) 800-4275

Other practice location 1

1900 Waukegan Rd
Glenview, IL 60025-1714
Phone (847) 657-8787

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
I20190910001058 IL Practitioner - Optometry 5698004034 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Illinois College of Optometry at Chicago, 2019
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

Practice addresses (Care Compare)

360 S Waukegan Rd
Suite a
Deerfield, IL 60015-5654
Phone (847) 412-0311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
046011367ILMDOptometrist
3581-35WIMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Rosin Optical Co., Inc. Optometrist CurrentSince Oct 1, 2019 Accepting new patients
Rosin Optical Co. Inc. Optometrist CurrentSince Oct 1, 2019 Accepting new patients
West Point Optical Group Optometrist CurrentSince Sep 16, 2023 Accepting new patients
Christina J. Levi O D P C Optometrist CurrentSince Nov 14, 2023 Accepting new patients
Rosin Optical Co., Inc Optometrist Current Accepting new patients
20/20 Eye Physicians of Indiana P C PastSince Aug 19, 2019 Accepting new patients
Christina J. Levi O D P C Optometrist Past Accepting new patients

Locations

900 Belvidere Rd
Belvidere, IL 61008
Phone (708) 859-8000

6235 Cermak Rd
Berwyn, IL 60402
Phone (708) 749-2020

313 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 541-1184

360 S Waukegan Rd
Ste A
Deerfield, IL 60015
Phone (847) 412-0311

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

1900 Waukegan Rd
Glenview, IL 60025
Phone (847) 657-8757

6150 E State St
Ste 130
Rockford, IL 61108
Phone (708) 859-8000

850 E Golf Rd
Schaumburg, IL 60173
Phone (847) 519-1020

246 Hawthorn Village Cmn
Vernon Hills, IL 60061
Phone (847) 680-9160

316 S Hamilton Rd
Gahanna, OH 43230

Networks

  • IL HMO C-SNP
  • devoted network organization-1baeae7e-6b6f-49f9-a562-1b2d2e55c806

Organizations & group practices 7

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": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1013564111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 OLD ORCHARD RD APT 308",
            "city": "SKOKIE",
            "state": "IL",
            "postal_code": "600761022",
            "telephone_number": "224-800-4275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 S WAUKEGAN RD STE A",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155654",
            "telephone_number": "847-412-0311",
            "fax_number": "847-412-0316"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600251714",
            "country_code": "US",
            "telephone_number": "847-657-8787",
            "fax_number": "847-657-8730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TABANI",
        "first_name": "AYMAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IL",
            "license": "046011367",
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3581-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

Verify at the official NPI Registry.