Active NPI
Austin William Toresdahl, OD
- Optometrist
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 1319
- Practice address
- 6201 W 95TH St
Oak Lawn, IL 60453-3888 - Phone
- (708) 636-9393
- Fax
- (708) 636-2022
- NPI assigned
- Mar 28, 2022
- Sex
- Male
- 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 | 1319 | ZZ | Primary |
Addresses
Primary practice location
6201 W 95TH St
Oak Lawn, IL 60453-3888
Mailing address
6201 W 95TH St
Oak Lawn, IL 60453-3888
Phone (708) 636-9393
Other practice location 1
820 S Damen Ave
Chicago, IL 60612-3728
Phone (403) 878-9956
Other practice location 2
68 W Dundee Rd
Buffalo Grove, IL 60089-3758
Phone (847) 541-3334
Other practice location 3
17W682 Butterfield Rd Ste 101
Oakbrook Terrace, IL 60181-4029
Phone (708) 636-9393
Other practice location 4
4459 N Kedzie Ave
Chicago, IL 60625-4785
Phone (773) 866-2020
Other practice location 5
14494 John Humphrey Dr
Orland Park, IL 60462-2638
Phone (708) 226-9393
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1319 | ZZ | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 20/20 Eye Physicians of Indiana P C | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Ophthalmology Physician
- Indianapolis, IN
- NPI 1871588442
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669161600000",
"number": "1013667211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6201 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533888",
"telephone_number": "708-636-9393",
"fax_number": "708-636-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6201 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604533888",
"telephone_number": "708-636-9393",
"fax_number": "708-636-2022"
}
],
"practiceLocations": [
{
"address_1": "820 S Damen Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606123728",
"country_code": "US",
"telephone_number": "403-878-9956",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "68 W Dundee Rd",
"address_purpose": "LOCATION",
"city": "Buffalo Grove",
"state": "IL",
"postal_code": "600893758",
"country_code": "US",
"telephone_number": "847-541-3334",
"fax_number": "847-541-8442",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "17W682 Butterfield Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Oakbrook Terrace",
"state": "IL",
"postal_code": "601814029",
"country_code": "US",
"telephone_number": "708-636-9393",
"fax_number": "708-636-2022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4459 N Kedzie Ave",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606254785",
"country_code": "US",
"telephone_number": "773-866-2020",
"fax_number": "773-866-2022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14494 John Humphrey Dr",
"address_purpose": "LOCATION",
"city": "Orland Park",
"state": "IL",
"postal_code": "604622638",
"country_code": "US",
"telephone_number": "708-226-9393",
"fax_number": "708-403-5751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORESDAHL",
"first_name": "AUSTIN",
"middle_name": "WILLIAM",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-03-28",
"last_updated": "2022-11-23",
"certification_date": "2022-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ZZ",
"license": "1319",
"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 Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.