Active NPI
Gina Marie Piper, O.D.
- Optometrist
- Evanston, IL
National Provider Identifier
1043220783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 046-008974
- Practice address
- 522 Dempster Ave.
Evanston, IL 60202 - Phone
- (847) 864-5200
- Fax
- (847) 864-1231
- NPI assigned
- Aug 8, 2006
- 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 | 046-008974 | IL | Primary |
Addresses
Primary practice location
522 Dempster Ave.
Evanston, IL 60202
Mailing address
676 N Saint Clair St
Ste 1500
Chicago, IL 60611-2995
Phone (847) 864-5200
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 210209 | Other | MEDICARE GROUP | |
| 046008974 | Medicaid | IL | |
| 7235044 | Other | AETNA | |
| 1636706 | Other | BCBS | |
| 8825444 | Other | IL | MULTIPLAN |
Other names 1
- Dr. Gina Marie Bulf
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 |
|---|---|---|---|
| 046-008974 | IL | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Eye Specialists LTD | 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.
-
- Glaucoma Specialist (Ophthalmology) Physician
- Chicago, IL
- NPI 1760592398
Optometrist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489363200000",
"number": "1043220783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "676 N SAINT CLAIR ST",
"address_2": "STE 1500",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606112995",
"telephone_number": "847-864-5200",
"fax_number": "847-864-1231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "522 DEMPSTER AVE.",
"city": "EVANSTON",
"state": "IL",
"postal_code": "60202",
"telephone_number": "847-864-5200",
"fax_number": "847-864-1231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIPER",
"first_name": "GINA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-08",
"last_updated": "2017-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "IL",
"license": "046-008974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "210209",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "046008974",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7235044",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1636706",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MULTIPLAN",
"identifier": "8825444",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GINA",
"last_name": "BULF",
"middle_name": "MARIE",
"prefix": "DR.",
"credential": "O.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evanston, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.