Active NPI
Ramsey Tanakatsubo, OD
- Optometrist
- Oak Park, IL
National Provider Identifier
1013940667
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- Practice address
- 7011 W North Ave
Oak Park, IL 60302 - Phone
- (708) 848-3900
- Fax
- (708) 848-3997
- NPI assigned
- Jul 8, 2006
- 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 | IL | Primary |
Addresses
Primary practice location
7011 W North Ave
Oak Park, IL 60302
Mailing address
7011 W North Ave
Oak Park, IL 60302
Phone (708) 848-3900
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0001616047 | Other | IL | BLUE CROSS BLUE SHIELD |
| DC5096 | Other | IL | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Eyecare Group PC | Optometrist | 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.
-
- Optometrist
- Arlington Heights, IL
- NPI 1427231760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1197244800000",
"number": "1013940667",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7011 W NORTH AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "708-848-3900",
"fax_number": "708-848-3997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 W NORTH AVE",
"city": "OAK PARK",
"state": "IL",
"postal_code": "60302",
"telephone_number": "708-848-3900",
"fax_number": "708-848-3997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANAKATSUBO",
"first_name": "RAMSEY",
"name_prefix": "Dr.",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2007-12-10",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0001616047",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC5096",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oak Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.