The Chicago Lighthouse for People Who Are Blind Or Visually Impaired

Primary specialty

Low Vision Rehabilitation OptometristTaxonomy code 152WL0500X

Legal business name

THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED

Doing business as

The Chicago Lighthouse

Practice address

1850 W Roosevelt Road
The Chicago Lighthouse
Chicago, IL 60608

Phone

(312) 666-1331

Fax

(312) 997-3663

NPI assigned

Aug 21, 2006

Last updated

Apr 3, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gabrielle Niewinski, CPB, CPC

Title

Medical Billing Manager

Phone

(312) 666-1331

Specialties & licenses 9

Addresses

Other identifiers 2

Other names 2

• The Chicago Lighthouse Doing business as
• Low Vision Clinic Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL, IN2 enrollments

Enrollment records 2

Locations

Practitioners 30

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kashifa Ansari, OD

  • Optometrist
  • Chicago, IL
  • NPI 1467145326
  Medicare reassignment Care Compare group NPD
• Brian T Coffey, O.D.

  • Optometrist
  • Chicago, IL
  • NPI 1124479571

  IN

  Medicare reassignment Care Compare group NPD
• Frederick T Collison, OD

  • Optometrist
  • Downers Grove, IL
  • NPI 1356891022
  Medicare reassignment Care Compare group NPD
• Kara E Crumbliss, OD

  • Optometrist
  • Chicago, IL
  • NPI 1831182377
  Medicare reassignment Care Compare group NPD
• Laura M Hayes, MS OTR/L

  • Occupational Therapist
  • Chicago, IL
  • NPI 1386936870
  Medicare reassignment Care Compare group NPD
• Kaitlin S Ibara, OTR/L

  • Occupational Therapist
  • Chicago, IL
  • NPI 1992296834
  Medicare reassignment Care Compare group NPD
• Frank John Lane, PH.D.

  • Professional Counselor
  • Chicago, IL
  • NPI 1023204351
  Medicare reassignment Care Compare group NPD
• Kimberly Ngoc Tram Nguyen, OD

  • Optometrist
  • Chicago, IL
  • NPI 1922828573
  Medicare reassignment Care Compare group NPD
• Christopher T Pereira

  • Optometrist
  • Chicago, IL
  • NPI 1497313852
  Medicare reassignment Care Compare group NPD
• Tammy A. Price, OTR/L, CLVT

  • Occupational Therapist
  • Tinley Park, IL
  • NPI 1942447131

  IN

  Medicare reassignment Care Compare group NPD
• Steven Sargent, OD

  • Optometrist
  • Chicago, IL
  • NPI 1750069134
  Medicare reassignment Care Compare group NPD
• Kelly Katherine Scherer, OD

  • Optometrist
  • Chicago, IL
  • NPI 1881122893
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680480000000",
    "number": "1043326309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT RD",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606081200",
            "telephone_number": "312-666-1331",
            "fax_number": "312-997-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 W ROOSEVELT ROAD",
            "address_2": "THE CHICAGO LIGHTHOUSE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60608",
            "telephone_number": "312-666-1331",
            "fax_number": "312-997-3663"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3198 E 83rd Pl",
            "address_purpose": "LOCATION",
            "city": "Merrillville",
            "state": "IN",
            "postal_code": "464106418",
            "country_code": "US",
            "telephone_number": "312-997-3686 x31299",
            "fax_number": "312-997-3663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19550 Governors Hwy",
            "address_purpose": "LOCATION",
            "city": "Flossmoor",
            "state": "IL",
            "postal_code": "604222125",
            "country_code": "US",
            "telephone_number": "312-997-3686",
            "fax_number": "312-997-3663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 Waukegan Rd",
            "address_purpose": "LOCATION",
            "city": "Glenview",
            "state": "IL",
            "postal_code": "600255159",
            "country_code": "US",
            "telephone_number": "847-510-6200",
            "fax_number": "847-729-2207",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE CHICAGO LIGHTHOUSE FOR PEOPLE WHO ARE BLIND OR VISUALLY IMPAIRED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A",
        "authorized_official_last_name": "NIEWINSKI",
        "authorized_official_first_name": "GABRIELLE",
        "authorized_official_title_or_position": "MEDICAL BILLING MANAGER",
        "authorized_official_telephone_number": "312-666-1331",
        "authorized_official_credential": "CPB, CPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "152WL0500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist, Low Vision Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF ILLINOIS",
            "identifier": "1111300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1831182377",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "billingforlvc@chicagolighthouse.org",
            "affiliation": "N",
            "endpointDescription": "Business Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1850 W Roosevelt Road",
            "address_2": "The Chicago Lighthouse",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60608",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "The Chicago Lighthouse",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Low Vision Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• The Chicago School of Professional Psychology
• The Chicago School of Professional Psychology

• Low Vision Rehabilitation Optometrist in Chicago, IL
• Providers in Chicago, IL by specialty
• Low Vision Rehabilitation Optometrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.